Organization
LITTLE RIVER BAND OF OTTAWA INDIANS
Active
Organization
LITTLE RIVER BAND OF OTTAWA INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE GRANT (HEALTH SERVICES SUPERVISOR)
(231) 723-8299
Entity
Organization
Contact information
Practice address
2608 GOVERNMENT CENTER DR, MANISTEE, MI 49660-8302
(231) 723-8299
(231) 398-9684
Mailing address
2608 GOVERNMENT CENTER DR, MANISTEE, MI 49660-8302
(231) 723-8299
(231) 398-9684
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23-1870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080E110030
BCBSMI
—
Enumeration date
02/26/2008
Last updated
03/22/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up