Little River Band Of Ottawa Indians in Manistee - Federally Qualified Health Center (fqhc)
Little River Band Of Ottawa Indians - NPI 1154590917
Little River Band Of Ottawa Indians is a Federally Qualified Health Center (fqhc) in Manistee, Michigan. Little River Band Of Ottawa Indians practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Little River Band Of Ottawa Indians is 1154590917. The last update date is 2016-03-22.
Little River Band Of Ottawa Indians's current location address is 2608 Government Center Dr, Manistee, Michigan. You can contact this provider via phone number 2317238299 and fax number 2313989684. The mailing address for Little River Band Of Ottawa Indians is 2608 Government Center Dr, Manistee, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Little River Band Of Ottawa Indians |
|---|---|
| Address | 2608 Government Center Dr, Manistee, Michigan |
| Phone Number | 2317238299 |
| Fax Number | 2313989684 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH SER |
|---|---|
| Authorized Official Name | Grant Janice |
| Telephone Number | 2317238299 |
NPI Number Detail
| NPI Number | 1154590917 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2016-03-22 |
Provider Mailing Address Detail
| Address | 2608 Government Center Dr |
|---|---|
| City | Manistee |
| State | Michigan (MI) |
| Post Code | 496608302 |
| Phone Number | 2317238299 |
| Fax Number | 2313989684 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 23-1870 |
|
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 |
|---|---|---|---|
| 080E110030 | BCBSMI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Little River Band Of Ottawa Indians by the Centers for Medicare & Medicaid Services?
The Little River Band Of Ottawa Indians has been issued the NPI (National Provider Identifier) 1154590917, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Little River Band Of Ottawa Indians located?
The Little River Band Of Ottawa Indians is located at 2608 Government Center Dr, Manistee, MI 496608302.
What is Little River Band Of Ottawa Indians's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Little River Band Of Ottawa Indians is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did Little River Band Of Ottawa Indians receive its 1154590917 assignment from the Centers for Medicare & Medicaid Services?
The Little River Band Of Ottawa Indians was assigned its 1154590917 on 2008-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Little River Band Of Ottawa Indians, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Little River Band Of Ottawa Indians, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-22.