| Sault Tribe Of Chippewa Indians | |
|
2864 Ashmun St Sault Sainte Marie MI 49783-3740 | |
| (906) 632-5200 | |
| (906) 632-5276 |
| Full Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Speciality | Clinic/Center |
| Location | 2864 Ashmun St, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Bonnie L Culfa (DIVISION OF HEALTH DIRECTOR) |
| Authorized Official Contact | 9066325200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 | Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 |
| NPI Number | 1477721058 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 7012982937 |
|---|---|
| Medicare Enrollment ID | O20040901001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477721058 | NPI | - | NPPES |
| 0A76001 | Other | MI | BC/BS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Genevieve M Maloney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679518997 PECOS PAC ID: 6901886134 Enrollment ID: I20040720001169 |
| Provider Name | Lowell L Styer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528051703 PECOS PAC ID: 4981633369 Enrollment ID: I20050808000064 |
| Provider Name | Peter Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255499281 PECOS PAC ID: 7416842802 Enrollment ID: I20070926000706 |
| Provider Name | Vivica J Fitzpatrick-sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386699791 PECOS PAC ID: 8527137504 Enrollment ID: I20080516000147 |
| Provider Name | Amy Postma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982897245 PECOS PAC ID: 0042388639 Enrollment ID: I20081009000313 |
| Provider Name | Michelle R Kroupa Kulik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891743480 PECOS PAC ID: 4183819717 Enrollment ID: I20101109001077 |
| Provider Name | Christine Margaret Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316046709 PECOS PAC ID: 8022294693 Enrollment ID: I20110516000594 |
| Provider Name | Candace Dennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598961732 PECOS PAC ID: 2264693498 Enrollment ID: I20120416000788 |
| Provider Name | Zara Masood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801220769 PECOS PAC ID: 9032496971 Enrollment ID: I20170503000333 |
| Provider Name | Jessica Neuroth |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1487036513 PECOS PAC ID: 3870857121 Enrollment ID: I20180514001877 |
| Provider Name | Mallinda Lumsden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225375439 PECOS PAC ID: 4981036100 Enrollment ID: I20191108002003 |
| Provider Name | Mark Senkus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124460092 PECOS PAC ID: 0143652651 Enrollment ID: I20191120002931 |
| Provider Name | Denise Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629533195 PECOS PAC ID: 6204268758 Enrollment ID: I20191121000966 |
| Provider Name | Christina Burlak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447757208 PECOS PAC ID: 1951734029 Enrollment ID: I20191203001805 |
| Provider Name | Sharron Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417198474 PECOS PAC ID: 0941633663 Enrollment ID: I20191210001721 |
| Provider Name | Rebeckah Zaragoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871074724 PECOS PAC ID: 0042643520 Enrollment ID: I20191216000078 |
| Provider Name | Jeffrey Craig Mazique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902905300 PECOS PAC ID: 5193893279 Enrollment ID: I20200526001554 |
St. Marys Medical Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 943 E Portage Ave, Sault Sainte Marie, MI 49783 Phone: 906-632-7878 | |
Phillip W. Niemi, D.o.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Osborn Blvd, Suite #202, Sault Sainte Marie, MI 49783 Phone: 906-632-1100 Fax: 906-632-7768 | |
Sault Tribe Of Chippewa Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2864 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-5200 Fax: 906-632-5276 | |
Eero J. Ranta, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 Osborn Blvd, Suite 204, Sault Sainte Marie, MI 49783 Phone: 906-632-6823 Fax: 906-632-7755 | |
Chippewa Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-632-6013 | |
Mymichigan Medical Center Sault Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Osborn Blvd, Sault Sainte Marie, MI 49783 Phone: 906-632-1800 | |
Joseph M. Garlinghouse Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Magazine St, Suite 102, Sault Sainte Marie, MI 49783 Phone: 906-253-9374 Fax: 906-253-9002 |