Organization
SAULT TRIBE OF CHIPPEWA INDIANS
Active
Parent organization
SAULT TRIBE OF CHIPPEWA INDIANS
Other names
Manistique Tribal Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAULT TRIBE OF CHIPPEWA INDIANS
Authorized official
JOEL LUMSDEN (ASSISTANT HEALTH DIRECTOR)
(906) 632-5200
Entity
Organization
Contact information
Practice address
5698W HWY US2, MANISTIQUE, MI 49854
(906) 341-8442
(906) 341-8470
Mailing address
5698W HWY US2, MANISTIQUE, MI 49854
(906) 341-8442
(906) 341-8470
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
231842
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231842
FQHC FACILITY NUMBER
MI
Enumeration date
01/19/2007
Last updated
09/16/2024
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