| Bay Mills Indian Community | |
|
7134 S M 221 Brimley MI 49715-9299 | |
| (906) 248-5527 | |
| Not Available |
| Full Name | Bay Mills Indian Community |
|---|---|
| Speciality | Clinic/Center |
| Location | 7134 S M 221, Brimley, Michigan |
| Authorized Official Name and Position | Lucy Parish Dewildt (ASSISTANT HHS DIRECTOR) |
| Authorized Official Contact | 9062488372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Mills Indian Community 12455 W Lakeshore Dr Brimley MI 49715-9327 Ph: (906) 248-5527 | Bay Mills Indian Community 7134 S M 221 Brimley MI 49715-9299 Ph: (906) 248-5527 |
| NPI Number | 1669235974 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Medicare PECOS PAC ID | 8729079918 |
|---|---|
| Medicare Enrollment ID | O20240507002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669235974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bay Mills Indian Community Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12455 W Lakeshore Dr, Brimley, MI 49715 Phone: 906-248-5527 Fax: 906-248-5765 | |
Bay Mills Indian Community Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12455 W Lakeshore Dr, Brimley, MI 49715 Phone: 906-248-5527 Fax: 906-248-5765 |