Organization
SAGINAW CHIPPEWA INDIAN TRIBE
Active
Other names
Nimkee Memorial Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
KARMEN FOX (EXECUTIVE HEALTH DIRECTOR)
(989) 775-4631
Entity
Organization
Contact information
Practice address
2591 SOUTH LEATON RD, MT PLEASANT, MI 48858
(989) 775-4600
(989) 775-4946
Mailing address
2591 SOUTH LEATON RD, MT PLEASANT, MI 48858
(989) 775-4600
(989) 775-4946
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C760120
BCBS GROUP
—
01
—
500C776040
BCBS GROUP
—
01
—
G05822
BCN GROUP
—
Enumeration date
10/10/2006
Last updated
11/27/2023
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