Organization
BAY MILLS INDIAN COMMUNITY
Active
Other names
BAY MILLS EMERGENCY CONNECTION
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY BREAKIE (HHS DIRECTOR)
(906) 248-8327
Entity
Organization
Contact information
Practice address
3406 S PINE VILLAGE RD, BRIMLEY, MI 49715-9324
(906) 248-2021
(906) 248-2023
Mailing address
12455 W LAKESHORE DR, BRIMLEY, MI 49715-9327
(906) 248-5527
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
4704182384
MI
Other
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
—
Enumeration date
04/26/2006
Last updated
11/29/2022
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