| Sault Tribe Of Chippewa Indians | |
|
2864 Ashmun St Sault Sainte Marie MI 49783-3740 | |
| (906) 632-5200 | |
| (906) 632-5276 |
| Full Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Speciality | Psychologist - Family |
| Location | 2864 Ashmun St, Sault Sainte Marie, Michigan |
| Authorized Official Name and Position | Bonnie L Culfa (DIVISION OF HEALTH DIRECTOR) |
| Authorized Official Contact | 9066325257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 | Sault Tribe Of Chippewa Indians 2864 Ashmun St Sault Sainte Marie MI 49783-3740 Ph: (906) 632-5200 |
| NPI Number | 1821266404 |
|---|---|
| Provider Enumeration Date | 02/15/2008 |
| Last Update Date | 05/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821266404 | NPI | - | NPPES |
| 0A76025 | Other | MI | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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