POKAGON BAND OF POTAWATOMI INDIANS NPI 1497833271

NPI Information

POKAGON BAND OF POTAWATOMI INDIANS is a federally qualified health center (fqhc) clinic center in Dowagiac, MI. POKAGON BAND OF POTAWATOMI INDIANS NPI is 1497833271. The provider is registered as an organization entity type.
The provider Is Doing Business As Pokagon Health Service.

The provider's business location address is:

32652 KNO DRIVE
DOWAGIAC, MI
ZIP 49047-180
Phone: (269) 782-4141
Fax: (269) 783-1236

The provider's authorized official is Priscilla Gatties .
The authorized official title is Director Of Health Services and has the following contact phone number (269) 782-4141.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/11/2021.

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:

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