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Organization

POKAGON BAND OF POTAWATOMI INDIANS

Active
Other names
Pokagon Health Service, Mshkiki Community Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
PRISCILLA GATTIES (DIRECTOR OF HEALTH SERVICES)
(269) 782-4141
Entity
Organization

Contact information

Practice address
32652 KNO DRIVE, DOWAGIAC, MI 49047-0180
(269) 782-4141
(269) 783-1236
Mailing address
PO BOX 180, DOWAGIAC, MI 49047-0180
(269) 782-4141
(269) 783-1236

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
11/01/2006
Last updated
01/11/2021
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