Sault Tribe of Chippewa Indians

NPI #1023208774 in Escanaba, Michigan

Provider Information

NPI Number: 1023208774
Entity Type: Organization
Organization Name: Sault Tribe of Chippewa Indians
Subpart: Yes (part of a larger organization)
Parent Organization: SAULT TRIBE OF CHIPPEWA INDIANS
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 30, 2007
Last Updated: Jul 30, 2007

Practice Location

Address: 3500 LUDINGTON ST
Address 2: SUITE 210
City: Escanaba
State: Michigan
ZIP Code: 49829-4216
Phone: (906) 786-9211

Authorized Official

Name: BONNIE L CULFA, RN, MSN
Title: DIVISION OF HEALTH DIRECTOR
Phone: (906) 632-5272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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