| Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy | |
|
102 Superior Ave Baraga MI 49908-9673 | |
| (906) 353-4555 | |
| (906) 353-8066 |
| Full Name | Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy |
|---|---|
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location | 102 Superior Ave, Baraga, Michigan |
| Authorized Official Name and Position | Kathy Mayo (INTERIM HEALTH ADMINISTRATOR) |
| Authorized Official Contact | 9063538700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy 102 Superior Ave Baraga MI 49908-9673 Ph: (906) 353-4555 | Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy 102 Superior Ave Baraga MI 49908-9673 Ph: (906) 353-4555 |
| NPI Number | 1114217833 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114217833 | NPI | - | NPPES |
| 1336232289 | Medicaid | MI |
Keweenaw Bay Indian Community Mihp Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Ave, Baraga, MI 49908 Phone: 906-353-4542 Fax: 906-353-8799 | |
Keweenaw Bay Indian Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Superior Ave, Baraga, MI 49908 Phone: 906-353-4542 Fax: 906-353-8799 |