Organization
SAULT TRIBE OF CHIPPEWA INDIANS
Active
Parent organization
SAULT TRIBE OF CHIPPEWA INDIANS
Other names
Kinross Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAULT TRIBE OF CHIPPEWA INDIANS
Authorized official
BONNIE CULFA RN,MSN (HEALTH DIRECTOR)
(906) 632-5200
Entity
Organization
Contact information
Practice address
16877 S WATER TOWER DR, KINCHELOE, MI 49788-1507
(906) 495-5745
(906) 495-5940
Mailing address
16877 S WATER TOWER DR, KINCHELOE, MI 49788-1507
(906) 495-5745
(906) 495-5940
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
231881
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231881
FQHC FACILITY NUMBER
—
Enumeration date
01/16/2007
Last updated
07/10/2007
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