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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