Organization · Type 2 NPI
Little Traverse Bay Bands of Odawa Indians
Federally Qualified Health Center (FQHC) · Petoskey, MI
NPI number
1124052816
Active
Practice location
1260 Ajijaak Ave
Petoskey, MI 49770-8330
Fax (231) 242-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Frank Animikwam, MDFamily Medicine Physician Petoskey, MI NPI 1750875712
- Mason Sylar Valor, PhD, LPC, CAADCProfessional Counselor Petoskey, MI NPI 1023546959
- Missy Marie McNeil, LMSWClinical Social Worker Petoskey, MI NPI 1740873587
- Victoria FairbairnMental Health Counselor Petoskey, MI NPI 1619718459
Other federally qualified health center (fqhc) providers in Petoskey
About NPI 1124052816
Little Traverse Bay Bands of Odawa Indians's National Provider Identifier is 1124052816, issued on Jul 10, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Petoskey, MI. The record was last updated on Jul 25, 2025.