Pokagon Band of Potawatomi Indians

NPI #1497833271 in Dowagiac, Michigan

Provider Information

NPI Number
1497833271
Entity Type
Organization
Organization Name
Pokagon Band of Potawatomi Indians
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 1, 2006
Last Updated
Jan 11, 2021

Practice Location

Address
32652 KNO DRIVE
ZIP Code
49047-0180
Phone
(269) 782-4141

Authorized Official

Name
PRISCILLA GATTIES
Title
DIRECTOR OF HEALTH SERVICES
Phone
(269) 782-4141

Specialties & Taxonomy Codes

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

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