SAULT TRIBE OF CHIPPEWA INDIANS NPI 1780737403

NPI Information

SAULT TRIBE OF CHIPPEWA INDIANS is a federally qualified health center (fqhc) clinic center in Munising, MI. SAULT TRIBE OF CHIPPEWA INDIANS NPI is 1780737403. The provider is registered as an organization entity type.
The provider Other Name Is Munising Tribal Health Center.

The provider's business location address is:

622 W SUPERIOR ST
MUNISING, MI
ZIP 49862-329
Phone: (906) 387-4614
Fax: (906) 387-4727

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

The CLIA number assigned to this NPI record is 23D0860942 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/4/2007.

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:

Other Identifiers

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

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