SAULT TRIBE OF CHIPPEWA INDIANS (NPI# 1588717839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588717839 |
| Entity Type | Organization |
| Organization Name | SAULT TRIBE OF CHIPPEWA INDIANS |
| Other Organization Name | MANISTIQUE TRIBAL HEALTH CENTER |
| Practice Address |
5698w Hwy Us2 Manistique MI 49854 |
| Practice Telephone | 9063418442 |
| Practice Fax Number | 9063418470 |
| Mailing Telephone | 9063418442 |
| Mailing Fax Number | 9063418470 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | BONNIE CULFA (HEALTH DIRECTOR) |
| Authorized Official Telephone | 9066325200 |
| Authorized Official Credential | RN MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | SAULT TRIBE OF CHIPPEWA INDIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
231842 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | FQHC FACILITY NUMBER | 231842 | 01 |
| Other Name | Type Code |
|---|---|
| Manistique Tribal Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922200203 | Sault Tribe of Chippewa Indians | Clinic/Center | 3355 N 3 Mile Road, Hessel, MI 49745 | 2007-05-31 |
| 1366643694 | Sault Tribe of Chippewa Indians | Clinic/Center | 4935 Zee Ba Tik Ln, Newberry, MI 49868-8188 | 2007-05-31 |
| 1861545337 | Sault Tribe of Chippewa Indians | Clinic/Center | 346 Superior St, De Tour Village, MI 49725 | 2007-01-19 |
| 1891847067 | Sault Tribe of Chippewa Indians | Clinic/Center | 225 Wa Seh St, Saint Ignace, MI 49781-9490 | 2007-01-17 |
| 1477605137 | Sault Tribe of Chippewa Indians | Clinic/Center | 16877 S Water Tower Dr, Kincheloe, MI 49788-1507 | 2007-01-16 |
| 1508957747 | Sault Tribe of Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 5698 W Hwy Us 2, Manistique, MI 49854 | 2006-09-27 |
| 1922305416 | Sault Tribe of Chippewa Indians | Audiologist | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2011-02-17 |
| 1245534890 | Sault Tribe of Chippewa Indians | Social Worker | 1140 N State St, Suite 2805, Saint Ignace, MI 49781-1013 | 2010-12-22 |
| 1598999310 | Sault Tribe of Chippewa Indians | Social Worker | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2009-05-07 |
| 1477721058 | Sault Tribe of Chippewa Indians | Family Medicine | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2008-02-15 |
| Street Address |
5698W HWY US2 |
| City | MANISTIQUE |
| State | MI |
| Zip Code | 49854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752215 | Sarah Jo Miller | Massage Therapist | 610 E Lakeshore Dr, Manistique, MI 49854 | 2020-02-18 |
| 1669961611 | Carole Lynn Hare | Counselor | 159 N Maple Stree, Manistique, MI 49854 | 2018-05-05 |
| 1457898165 | Mark A Rohde | Pharmacist | 211 S Cedar Street, Manistique, MI 49854 | 2017-01-20 |
| 1801137229 | Tracey A Marino | Nurse Practitioner | 7870 W. Us 2, Schoolcraft Memorial Hospital, Manistique, MI 49854 | 2013-03-11 |
| 1366786303 | Melissa L Carlson | Counselor | 5698 W. Hwy Us2, Manistique, MI 49854 | 2012-11-15 |
| 1255666939 | Little Ones of The Up, LLC | Community/Behavioral Health | 300 Walnut Rm 155, Manistique, MI 49854 | 2009-10-13 |
| 1629303441 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 | 2009-10-13 |
| 1073756961 | Trisha Ann Mcevers | Social Worker | 601 E. Lakeshore Drive, Suite 102, Manistique, MI 49854 | 2009-04-08 |
| 1043359409 | Nora Lynn Brewster | Social Worker | 8716 N Boot Lake Rd, Manistique, MI 49854 | 2007-02-05 |
| 1609969187 | Kourtney Bria Bradley | Pharmacist | 5698 W. Us-2, Manistique, MI 49854 | 2006-10-02 |
| Find all providers in zip 49854 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | MANISTIQUE |
| Zip Code | 49854 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.