| Little Traverse Bay Bands Of Odawa Indians | |
|
2390 Mitchell Park Dr Ste D Petoskey MI 49770-8965 | |
| (231) 242-1760 | |
| Not Available |
| Full Name | Little Traverse Bay Bands Of Odawa Indians |
|---|---|
| Speciality | Clinic/Center |
| Location | 2390 Mitchell Park Dr Ste D, Petoskey, Michigan |
| Authorized Official Name and Position | Christina Dubois (ASSISTANT HEALTH DIRECTOR) |
| Authorized Official Contact | 2312421611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Traverse Bay Bands Of Odawa Indians 1260 Ajijaak Ave Petoskey MI 49770-8330 Ph: (231) 878-0419 | Little Traverse Bay Bands Of Odawa Indians 2390 Mitchell Park Dr Ste D Petoskey MI 49770-8965 Ph: (231) 242-1760 |
| NPI Number | 1871272583 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 05/20/2025 |
| Medicare PECOS PAC ID | 8820995368 |
|---|---|
| Medicare Enrollment ID | O20230208000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871272583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Northern Michigan Hematology And Oncology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 W Mitchell St, Suite 185, Petoskey, MI 49770 Phone: 231-487-3478 Fax: 231-487-3578 | |
Little Traverse Bay Bands Of Odawa Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1260 Ajijaak Ave, Petoskey, MI 49770 Phone: 231-242-1700 Fax: 231-242-1717 | |
Bay Urgent Care And Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 624 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-753-1400 | |
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