Organization · Type 2 NPI

Sault Tribe of Chippewa Indians

Federally Qualified Health Center (FQHC) · Manistique, MI

NPI number 1588717839 Active

Practice location

5698W Hwy US2
Manistique, MI 49854

Fax (906) 341-8470

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	231842 (MI)

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

NPI record

NPI: 1588717839
Entity type: Organization (Type 2)
Issued: Jan 19, 2007
Last updated: Sep 16, 2024
Status: Active
Subpart: Yes of Sault Tribe of Chippewa Indians

Other names

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Manistique Tribal Health Center · doing business as

Authorized official

Joel Lumsden
Assistant Health Director
(906) 632-5200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588717839

Sault Tribe of Chippewa Indians's National Provider Identifier is 1588717839, issued on Jan 19, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manistique, MI. The record was last updated on Sep 16, 2024.