Sault Tribe Of Chippewa Indians in Sault Sainte Marie - Federally Qualified Health Center (fqhc)

Sault Tribe Of Chippewa Indians - NPI 1205004884

Sault Tribe Of Chippewa Indians is a Federally Qualified Health Center (fqhc) in Sault Sainte Marie, Michigan. Sault Tribe Of Chippewa Indians practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Sault Tribe Of Chippewa Indians is 1205004884. The last update date is 2009-03-20.

Sault Tribe Of Chippewa Indians's current location address is 2864 Ashmun St, Sault Sainte Marie, Michigan. You can contact this provider via phone number 9066325200 and fax number 9066325276. The mailing address for Sault Tribe Of Chippewa Indians is 2864 Ashmun St, Sault Sainte Marie, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sault Tribe Of Chippewa Indians
Address 2864 Ashmun St, Sault Sainte Marie, Michigan
Phone Number 9066325200
Fax Number 9066325276
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIVISION O
Authorized Official Name Culfa L Bonnie
Telephone Number 9066325200

NPI Number Detail

NPI Number 1205004884
Provider Enumeration Date 2008-02-15
Last Updated Date 2009-03-20

Provider Mailing Address Detail

Address 2864 Ashmun St
City Sault Sainte Marie
State Michigan (MI)
Post Code 497833740
Phone Number 9066325200
Fax Number 9066325276

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
0A71016 MI BC/BS OF MI

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FAQs about Sault Tribe Of Chippewa Indians

What is the Sault Tribe Of Chippewa Indians's 1205004884?

The Sault Tribe Of Chippewa Indians's NPI (National Provider Identifier) Number is 1205004884. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Sault Tribe Of Chippewa Indians's facilities are situated?

The facilities of Sault Tribe Of Chippewa Indians are physically located at the following address: 2864 Ashmun St, Sault Sainte Marie, MI, 497833740.

What is Sault Tribe Of Chippewa Indians's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Sault Tribe Of Chippewa Indians's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205004884 to Sault Tribe Of Chippewa Indians?

The Centers for Medicare & Medicaid Services assigned the 1205004884 to Sault Tribe Of Chippewa Indians on 2008-02-15.

As of what date were the details related to Sault Tribe Of Chippewa Indians most recently updated or revised?

The information pertaining to Sault Tribe Of Chippewa Indians, including its address, specialty, and other relevant details, was last updated or revised on 2009-03-20.

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