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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