Keweenaw Bay Indian Community

NPI #1336232289 in Baraga, Michigan

Provider Information

NPI Number
1336232289
Entity Type
Organization
Organization Name
Keweenaw Bay Indian Community
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 2, 2006
Last Updated
Oct 28, 2010

Practice Location

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

Authorized Official

Name
JOEL BRUCE MILLS, CCS-P
Title
MEDICAL BILLING CLERK
Phone
(906) 353-4542

Specialties & Taxonomy Codes

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

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