SAULT TRIBE OF CHIPPEWA INDIANS NPI 1205004884

NPI Information

NPI: 1205004884
Provider Name: SAULT TRIBE OF CHIPPEWA INDIANS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2864 ASHMUN ST
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 632-5200
Get Directions

SAULT TRIBE OF CHIPPEWA INDIANS is a family nurse practitioner in Sault Sainte Marie, MI. SAULT TRIBE OF CHIPPEWA INDIANS NPI is 1205004884. The provider is registered as an organization entity type.

The provider's business location address is:

2864 ASHMUN ST
SAULT SAINTE MARIE, MI
ZIP 49783-740
Phone: (906) 632-5200
Fax: (906) 632-5276

The provider's authorized official is Bonnie L Culfa .
The authorized official title is Division Of Health Director and has the following contact phone number (906) 632-5200.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 3/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	231923	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
2	231843	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
3	231922	MEDICARE OSCAR/CERTIFICATION
4	0N23850	MEDICARE PIN	MICHIGAN
5	231841	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
6	0A71016	OTHER	MICHIGAN	BC/BS OF MI
7	231842	MEDICARE OSCAR/CERTIFICATION	MICHIGAN
8	231838	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »