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Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Other names
Nimkee Memorial Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE SPRAGUE (TRIBAL CHIEF)
(989) 775-4200
Entity
Organization
Contact information
Practice address
2591 SOUTH LEATON RD, MT PLEASANT, MI 48858
(989) 775-4600
(989) 775-4946
Mailing address
2591 S LEATON RD, MT PLEASANT, MI 48858-8421
(989) 775-4600
(989) 775-4941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163WC1500X
Community Health Registered Nurse
—
NULL
163WM0102X
Maternal Newborn Registered Nurse
—
NULL
172V00000X
Community Health Worker
Primary
—
NULL
174H00000X
Health Educator
—
NULL
207Q00000X
Family Medicine Physician
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363L00000X
Nurse Practitioner
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C760120
BCBS GROUP
—
01
—
500C776040
BCBS GROUP
—
01
—
G05822
BCN GROUP
—
Enumeration date
10/10/2006
Last updated
10/07/2026
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