# SAGINAW CHIPPEWA INDIAN TRIBE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nimkee Memorial Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649368457
- **Authorized official:** LUKE SPRAGUE (TRIBAL CHIEF)
- **Authorized official phone:** (989) 775-4200

## Contact information

- **Practice address:** 2591 SOUTH LEATON RD, MT PLEASANT, MI 48858
- **Practice address phone:** (989) 775-4600
- **Practice address fax:** (989) 775-4946
- **Mailing address:** 2591 S LEATON RD, MT PLEASANT, MI 48858-8421
- **Mailing address phone:** (989) 775-4600
- **Mailing address fax:** (989) 775-4941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163WC1500X | Community Health Registered Nurse | — | NULL | — |
| 163WM0102X | Maternal Newborn Registered Nurse | — | NULL | — |
| 172V00000X | Community Health Worker | — | NULL | Yes |
| 174H00000X | Health Educator | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 10/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010C760120 | BCBS GROUP | — |
| 01 | — | 500C776040 | BCBS GROUP | — |
| 01 | — | G05822 | BCN GROUP | — |