Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy

NPI #1114217833 in Baraga, Michigan

Provider Information

NPI Number
1114217833
Entity Type
Organization
Organization Name
Keweenaw Bay Indian Community D.a.lapointe Health Facility Pharmacy
Subpart
Yes (part of a larger organization)
Parent Organization
KEWEENAW BAY INDIAN COMMUNITY D,A.LAPOINTE HEALTH FACILITY
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Apr 14, 2011
Last Updated
Dec 20, 2017

Practice Location

Address
102 SUPERIOR AVE
City
Baraga
ZIP Code
49908-9673
Phone
(906) 353-4555

Authorized Official

Name
MS. KATHY MAYO
Title
INTERIM HEALTH ADMINISTRATOR
Phone
(906) 353-8700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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