Organization · Type 2 NPI

Little River Band of Ottawa Indians

Federally Qualified Health Center (FQHC) · Manistee, MI

NPI number 1154590917 Active

Practice location

2608 Government Center Dr
Manistee, MI 49660-8302

Fax (231) 398-9684

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X23-1870 (MI)

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

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About NPI 1154590917

Little River Band of Ottawa Indians's National Provider Identifier is 1154590917, issued on Feb 26, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manistee, MI. The record was last updated on Mar 22, 2016.