| Little River Band Of Ottawa Indians | |
|
2840 Orchard Hwy Ste 2 Manistee MI 49660-9781 | |
| (231) 398-6852 | |
| Not Available |
| Full Name | Little River Band Of Ottawa Indians |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2840 Orchard Hwy Ste 2, Manistee, Michigan |
| Authorized Official Name and Position | Daryl B Wever (DIRECTOR/PHYSICIAN) |
| Authorized Official Contact | 2313986852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Band Of Ottawa Indians 2840 Orchard Hwy Ste 2 Manistee MI 49660-9781 Ph: (231) 398-6852 | Little River Band Of Ottawa Indians 2840 Orchard Hwy Ste 2 Manistee MI 49660-9781 Ph: (231) 398-6852 |
| NPI Number | 1467131409 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467131409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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