Organization
ST REGIS MOHAWK TRIBE
Active
Organization
ST REGIS MOHAWK TRIBE
Active
Other names
ST REGIS MOHAWK HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN COOK (DIRECTOR)
(518) 358-3141
Entity
Organization
Contact information
Practice address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
(518) 358-2797
Mailing address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
(518) 358-2797
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1653200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00651785
—
NY
05
—
01178234
—
NY
Enumeration date
08/24/2005
Last updated
07/14/2025
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