| Keweenaw Bay Indian Community Mihp Program | |
|
102 Superior Ave Baraga MI 49908-9673 | |
| (906) 353-4542 | |
| (906) 353-8799 |
| Full Name | Keweenaw Bay Indian Community Mihp Program |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 102 Superior Ave, Baraga, Michigan |
| Authorized Official Name and Position | Joel Bruce Mills (MEDICAL BILLING SPECIALIST) |
| Authorized Official Contact | 9063534542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keweenaw Bay Indian Community Mihp Program 102 Superior Ave Baraga MI 49908-9673 Ph: (906) 353-4542 | Keweenaw Bay Indian Community Mihp Program 102 Superior Ave Baraga MI 49908-9673 Ph: (906) 353-4542 |
| NPI Number | 1134363609 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134363609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Michigan) | Primary |
Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Ave, Baraga, MI 49908 Phone: 906-353-4555 Fax: 906-353-8066 | |
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 |