Bay Mills Indian Community in Brimley - Federally Qualified Health Center (fqhc)

Bay Mills Indian Community - NPI 1073711057

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 1073711057. 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 9062482496. 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 9062482496
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HHS DIRECT
Authorized Official Name Breakie Audrey
Telephone Number 9062488327

NPI Number Detail

NPI Number 1073711057
Provider Enumeration Date 2007-07-11
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 9062482496

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
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
1073711057 MI --
MI9748 MI MEDICARE

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FAQs about Bay Mills Indian Community

What is the unique identification code assigned to Bay Mills Indian Community by the Centers for Medicare & Medicaid Services?

The Bay Mills Indian Community has been issued the NPI (National Provider Identifier) 1073711057. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Bay Mills Indian Community is located?

The Bay Mills Indian Community is situated at the following address: 12455 W Lakeshore Dr, Brimley, MI, 497159319.

What is Bay Mills Indian Community's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bay Mills Indian Community is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date was the 1073711057 assigned to Bay Mills Indian Community?

The Bay Mills Indian Community was issued its 1073711057 on 2007-07-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Bay Mills Indian Community last refreshed?

The information related to the Bay Mills Indian Community, including its address, specialty, and other relevant details, was last updated on 2022-06-09.

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