St Regis Mohawk Tribe in Akwesasne - Federally Qualified Health Center (fqhc)

St Regis Mohawk Tribe - NPI 1457344558

St Regis Mohawk Tribe is a Federally Qualified Health Center (fqhc) in Akwesasne, New York. St Regis Mohawk Tribe practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for St Regis Mohawk Tribe is 1457344558. The last update date is 2020-08-22.

St Regis Mohawk Tribe's current location address is 412 State Route 37, Akwesasne, New York. You can contact this provider via phone number 5183583141 and fax number 5183582797. The mailing address for St Regis Mohawk Tribe is 412 State Route 37, Akwesasne, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Regis Mohawk Tribe
Address 412 State Route 37, Akwesasne, New York
Phone Number 5183583141
Fax Number 5183582797
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TRIBAL CHI
Authorized Official Name Lazore Barbara
Telephone Number 5183583141

NPI Number Detail

NPI Number 1457344558
Provider Enumeration Date 2005-08-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 412 State Route 37
City Akwesasne
State New York (NY)
Post Code 136553109
Phone Number 5183583141
Fax Number 5183582797

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 1653200R
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1178234 NY --
651785 NY --

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FAQs about St Regis Mohawk Tribe

What is the unique identifier code issued to St Regis Mohawk Tribe by the Centers for Medicare & Medicaid Services?

The St Regis Mohawk Tribe has been assigned the NPI (National Provider Identifier) 1457344558. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where St Regis Mohawk Tribe's facilities are geographically located?

The facilities of St Regis Mohawk Tribe are physically situated at the following location: 412 State Route 37, Akwesasne, NY, 136553109.

What is St Regis Mohawk Tribe's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for St Regis Mohawk Tribe is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.

When did the St Regis Mohawk Tribe receive its 1457344558?

The St Regis Mohawk Tribe was issued its 1457344558 on 2005-08-24, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding St Regis Mohawk Tribe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to St Regis Mohawk Tribe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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