| 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 | Optometrist |
| 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 | 1902074586 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 05/30/2008 |
| Medicare PECOS PAC ID | 7012982937 |
|---|---|
| Medicare Enrollment ID | O20051021000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902074586 | NPI | - | NPPES |
| 0A76010 | Other | MI | BC/BS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Dale W Muth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659380293 PECOS PAC ID: 2961444096 Enrollment ID: I20050527000639 |
| Provider Name | Dale Robert Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629029095 PECOS PAC ID: 6204847668 Enrollment ID: I20060526000036 |
| Provider Name | Shelly D Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336256288 PECOS PAC ID: 4183629033 Enrollment ID: I20060927000200 |
| Provider Name | Krysta Danyell Hinman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194829382 PECOS PAC ID: 4880794452 Enrollment ID: I20070711000676 |
| Provider Name | Benjamin Lawless |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437717329 PECOS PAC ID: 7315271525 Enrollment ID: I20190621001724 |
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 | |
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 | |
Baccari Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3390 I-75 Business Spur S, Soo Plaza, Sault Sainte Marie, MI 49783 Phone: 906-635-9710 Fax: 906-635-9780 |