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Organization
POKAGON BAND OF POTAWATOMI INDIANS
Active
Organization
POKAGON BAND OF POTAWATOMI INDIANS
Active
Parent organization
POKAGON BAND OF POTAWATOMI INDIANS
Other names
Pokagon Health Services, Pokagon Band Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
POKAGON BAND OF POTAWATOMI INDIANS
Authorized official
MR. MATT CLAY (DIRECTOR OF HEALTH SERVICES)
(269) 782-4141
Entity
Organization
Contact information
Practice address
32652 KNO, DOWAGIAC, MI 49047
(269) 782-4141
(269) 782-1236
Mailing address
PO BOX 180, DOWAGIAC, MI 49047-0180
(269) 782-1236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
133V00000X
Registered Dietitian
—
—
163WC1500X
Community Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/05/2007
Last updated
09/16/2019
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