| Sault Tribe Of Chippewa Indians | |
|
16877 S Water Tower Dr Kincheloe MI 49788-1507 | |
| (906) 495-5745 | |
| (906) 495-5940 |
| Full Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16877 S Water Tower Dr, Kincheloe, Michigan |
| Authorized Official Name and Position | Bonnie Culfa (HEALTH DIRECTOR) |
| Authorized Official Contact | 9066325200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Tribe Of Chippewa Indians 16877 S Water Tower Dr Kincheloe MI 49788-1507 Ph: (906) 495-5745 | Sault Tribe Of Chippewa Indians 16877 S Water Tower Dr Kincheloe MI 49788-1507 Ph: (906) 495-5745 |
| NPI Number | 1477605137 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477605137 | NPI | - | NPPES |
| 231881 | Other | FQHC FACILITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 231881 (* (Not Available)) | Primary |
Mymichigan Medical Center Sault Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16523 S Water Tower Dr, Kincheloe, MI 49788 Phone: 906-495-1344 Fax: 906-495-1403 |