BAY MILLS INDIAN COMMUNITY NPI 1366409237

NPI Information

  • NPI: 1366409237
  • Provider Name: BAY MILLS INDIAN COMMUNITY
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MITIGOONS DENTAL
  • Address: 204 E PORTAGE AVE
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Phone: (906) 248-5527

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NPI Details

BAY MILLS INDIAN COMMUNITY is a federally qualified health center (fqhc) clinic center in Sault Sainte Marie, MI. BAY MILLS INDIAN COMMUNITY NPI is 1366409237. The provider is registered as an organization entity type.
The provider Is Doing Business As Mitigoons Dental.

The provider's business location address is:

204 E PORTAGE AVE
SAULT SAINTE MARIE, MI
ZIP 49783-054
Phone: (906) 248-5527
Fax: (906) 248-5765

The provider's authorized official is Audrey Breakie .
The authorized official title is Hhs Dirctor and has the following contact phone number (906) 248-8315.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 6/20/2023.

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
1261QD0000XClinic/CenterDentalNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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