# BAY MILLS INDIAN COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BAY MILLS EMERGENCY CONNECTION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326005273
- **Authorized official:** AUDREY BREAKIE (HHS DIRECTOR)
- **Authorized official phone:** (906) 248-8327

## Contact information

- **Practice address:** 3406 S PINE VILLAGE RD, BRIMLEY, MI 49715-9324
- **Practice address phone:** (906) 248-2021
- **Practice address fax:** (906) 248-2023
- **Mailing address:** 12455 W LAKESHORE DR, BRIMLEY, MI 49715-9327
- **Mailing address phone:** (906) 248-5527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 4704182384 | MI | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 11/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1326005273 | — | MI |
| 01 | — | 209255 | MULTI-PLAN | — |
| 01 | — | 590015176 | MEDICARE RAILROAD | — |
| 01 | — | 590A700080 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 900020355 | PRIORITY HEALTH | — |