Keweenaw Bay Indian Community Mihp Program

NPI #1134363609 in Baraga, Michigan

Provider Information

NPI Number
1134363609
Entity Type
Organization
Organization Name
Keweenaw Bay Indian Community Mihp Program
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 28, 2009
Last Updated
Apr 28, 2009

Practice Location

Address
102 SUPERIOR AVE
City
Baraga
ZIP Code
49908-9673
Phone
(906) 353-4542

Authorized Official

Name
MR. JOEL BRUCE MILLS
Title
MEDICAL BILLING SPECIALIST
Phone
(906) 353-4542

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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