Organization · Type 2 NPI

Lac Vieux Desert Band of Lake Superior Chippewa Indians

Federally Qualified Health Center (FQHC) · Watersmeet, MI

NPI number 1114071578 Active

Practice location

N5241 US Highway 45
Watersmeet, MI 49969-0009

Call (906) 358-4588 Map

Fax (906) 358-4118

Mailing address

PO Box 9
Watersmeet, MI 49969-0009

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

11 other providers at this address

About NPI 1114071578

Lac Vieux Desert Band of Lake Superior Chippewa Indians's National Provider Identifier is 1114071578, issued on Jan 23, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Watersmeet, MI. The record was last updated on Sep 11, 2023.