Little Traverse Bay Bands Of Odawa Indians | |
1250 Lears Rd. Petoskey MI 49770-8774 | |
(231) 242-1700 | |
(231) 242-1717 |
Full Name | Little Traverse Bay Bands Of Odawa Indians |
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Speciality | Clinic/Center |
Location | 1250 Lears Rd., Petoskey, Michigan |
Authorized Official Name and Position | Terry Samuels (MEDICAL DIRECTOR) |
Authorized Official Contact | 2312421700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Little Traverse Bay Bands Of Odawa Indians 7500 Odawa Cir Attn: Billing Harbor Springs MI 49740-9692 Ph: (231) 242-1611 | Little Traverse Bay Bands Of Odawa Indians 1250 Lears Rd. Petoskey MI 49770-8774 Ph: (231) 242-1700 |
NPI Number | 1124052816 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 01/29/2015 |
Medicare PECOS PAC ID | 8820995368 |
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Medicare Enrollment ID | O20031215000228 |
Identifier | Type | State | Issuer |
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1124052816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Petoskey Family Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 S Us 131, Suite 3, Petoskey, MI 49770 Phone: 231-487-6000 Fax: 231-487-6014 | |
Bay Urgent Care And Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-753-1400 | |
Clear The Dermatology Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Mitchell St, Petoskey, MI 49770 Phone: 231-348-0766 | |
Northern Michigan Cosmetic & Reconstructive Surgery Center P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 360, Petoskey, MI 49770 Phone: 231-487-6070 Fax: 231-487-6073 | |
Suzanne Wehrenberg Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Cedar Bluff Drive, Suite 5, Petoskey, MI 49770 Phone: 231-348-1880 Fax: 231-348-0905 | |
Great Lakes Digestive Health Assc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Ste M40, Petoskey, MI 49770 Phone: 231-487-2391 Fax: 231-487-6513 |