Bay Mills Indian Community in Brimley - Federally Qualified Health Center (fqhc)
Bay Mills Indian Community - NPI 1053592089
Bay Mills Indian Community is a Federally Qualified Health Center (fqhc) in Brimley, Michigan. Bay Mills Indian Community practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Bay Mills Indian Community is 1053592089. The last update date is 2022-06-09.
Bay Mills Indian Community's current location address is 12455 W Lakeshore Dr, Brimley, Michigan. You can contact this provider via phone number 9062485527 and fax number 9062485765. The mailing address for Bay Mills Indian Community is 12455 W Lakeshore Dr, Brimley, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bay Mills Indian Community |
|---|---|
| Address | 12455 W Lakeshore Dr, Brimley, Michigan |
| Phone Number | 9062485527 |
| Fax Number | 9062485765 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH DIR |
|---|---|
| Authorized Official Name | Breakie Audrey |
| Telephone Number | 9062488327 |
NPI Number Detail
| NPI Number | 1053592089 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2022-06-09 |
Provider Mailing Address Detail
| Address | 12455 W Lakeshore Dr |
|---|---|
| City | Brimley |
| State | Michigan (MI) |
| Post Code | 497159319 |
| Phone Number | 9062485527 |
| Fax Number | 9062485765 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 231839 |
|
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 |
|---|---|---|---|
| 1053592089 | MI | -- |
Post Comment/ Review Below
What is the Bay Mills Indian Community's 1053592089?
The Bay Mills Indian Community's NPI (National Provider Identifier) Number is 1053592089. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bay Mills Indian Community?
The Bay Mills Indian Community is situated at 12455 W Lakeshore Dr, in the city of Brimley, state of MI, with the zip code 497159319.
What is the Bay Mills Indian Community's specialty and taxonomy code?
The Bay Mills Indian Community's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053592089 to Bay Mills Indian Community?
The Bay Mills Indian Community received its 1053592089 assignment from the Centers for Medicare & Medicaid Services on 2007-11-19.
As of what date was the information regarding Bay Mills Indian Community, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bay Mills Indian Community, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-06-09.
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