| Hannahville Indian Community | |
|
N15019 Hannahville B1 Rd Wilson MI 49896 | |
| (906) 466-2782 | |
| (906) 466-7454 |
| Full Name | Hannahville Indian Community |
|---|---|
| Speciality | Clinic/Center |
| Location | N15019 Hannahville B1 Rd, Wilson, Michigan |
| Authorized Official Name and Position | Gayle Susan Meshigaud (DIRECTOR OF HEALTH & HUMAN SERVICES) |
| Authorized Official Contact | 9064662782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hannahville Indian Community N14911 Hannahville B-1 Rd Wilson MI 49896-9728 Ph: (906) 466-2932 | Hannahville Indian Community N15019 Hannahville B1 Rd Wilson MI 49896 Ph: (906) 466-2782 |
| NPI Number | 1790869436 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/18/2008 |
| Medicare PECOS PAC ID | 7618879024 |
|---|---|
| Medicare Enrollment ID | O20101123000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790869436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hannahville Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N15019 Hannahville B-1 Rd, Wilson, MI 49896 Phone: 906-466-9201 Fax: 906-466-7454 |