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Organization

SAULT TRIBE OF CHIPPEWA INDIANS

Active
Parent organization
SAULT TRIBE OF CHIPPEWA INDIANS
Other names
St. Ignace 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
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-8689
(906) 643-6716
Mailing address
1140 N STATE ST, SAINT IGNACE, MI 49781-1048
(906) 643-8689
(906) 643-6716

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
231841
FQHC FACILITY NUMBER
01
23D0674396
CLIA
MI
Enumeration date
01/17/2007
Last updated
09/16/2024
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