Organization · Type 2 NPI

Sault Tribe of Chippewa Indians

Federally Qualified Health Center (FQHC) · Munising, MI

NPI number 1780737403 Active

Practice location

622 W Superior St
Munising, MI 49862-1329

Fax (906) 387-4727

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	231843 (MI)

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

3 other providers at this address

Amy G. Westcomb, PAPhysician Assistant Munising, MI NPI 1457448920
Candace L. Worthington, LMSWClinical Social Worker Munising, MI NPI 1386780674
Timothy J. Derwin, BSAddiction (Substance Use Disorder) Counselor Munising, MI NPI 1841431814

NPI record

NPI: 1780737403
Entity type: Organization (Type 2)
Issued: Jan 18, 2007
Last updated: Oct 18, 2024
Status: Active
Subpart: Yes of Sault Tribe of Chippewa Indians

Other names

<unavail>
Munising Tribal Health Center · other name

Authorized official

Joel Lumsden
Assistant Health Director
(906) 632-5200

Verify this record

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 1780737403

Sault Tribe of Chippewa Indians's National Provider Identifier is 1780737403, issued on Jan 18, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Munising, MI. The record was last updated on Oct 18, 2024.