SAULT TRIBE OF CHIPPEWA INDIANS (NPI# 1366643694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366643694 |
| Entity Type | Organization |
| Organization Name | SAULT TRIBE OF CHIPPEWA INDIANS |
| Other Organization Name | NEWBERRY COMMUNITY HEALTH CENTER |
| Practice Address |
4935 Zee Ba Tik Ln Newberry MI 49868-8188 |
| Practice Telephone | 9062938181 |
| Practice Fax Number | 9062933001 |
| Mailing Telephone | 9062938181 |
| Mailing Fax Number | 9062933001 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BONNIE L CULFA (HEALTH DIVISION DIRECTOR) |
| Authorized Official Telephone | 9066325275 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Newberry Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922200203 | Sault Tribe of Chippewa Indians | Clinic/Center | 3355 N 3 Mile Road, Hessel, MI 49745 | 2007-05-31 |
| 1588717839 | Sault Tribe of Chippewa Indians | Clinic/Center | 5698w Hwy Us2, Manistique, MI 49854 | 2007-01-19 |
| 1861545337 | Sault Tribe of Chippewa Indians | Clinic/Center | 346 Superior St, De Tour Village, MI 49725 | 2007-01-19 |
| 1891847067 | Sault Tribe of Chippewa Indians | Clinic/Center | 225 Wa Seh St, Saint Ignace, MI 49781-9490 | 2007-01-17 |
| 1477605137 | Sault Tribe of Chippewa Indians | Clinic/Center | 16877 S Water Tower Dr, Kincheloe, MI 49788-1507 | 2007-01-16 |
| 1508957747 | Sault Tribe of Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 5698 W Hwy Us 2, Manistique, MI 49854 | 2006-09-27 |
| 1922305416 | Sault Tribe of Chippewa Indians | Audiologist | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2011-02-17 |
| 1245534890 | Sault Tribe of Chippewa Indians | Social Worker | 1140 N State St, Suite 2805, Saint Ignace, MI 49781-1013 | 2010-12-22 |
| 1598999310 | Sault Tribe of Chippewa Indians | Social Worker | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2009-05-07 |
| 1477721058 | Sault Tribe of Chippewa Indians | Family Medicine | 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | 2008-02-15 |
| Street Address |
4935 ZEE BA TIK LN |
| City | NEWBERRY |
| State | MI |
| Zip Code | 49868-8188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396935045 | Sault Tribe of Chippewa Indians | Clinic/Center | 4935 Zee Ba Tik Ln, Newberry, MI 49868-8188 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700119989 | Kathy Ballard Behavioral Health Services LLC | Social Worker | 405 Newberry Avenue, Newberry, MI 49868 | 2009-09-06 |
| 1063657286 | Up Superior Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 13534 State Highway 28, Newberry, MI 49868 | 2008-12-03 |
| 1447349576 | Denise Magdalene Danaher | Registered Nurse | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2006-10-12 |
| 1114934189 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 7293 M-123, Newberry, MI 49868 | 2006-08-02 |
| 1912932757 | Brian Joseph Bezotte | Social Worker | 14126 West County Road 428, Newberry, MI 49868 | 2006-07-11 |
| 1710944525 | Hilary S Newby | Dentist | 7793 S Newberry Ave, Newberry, MI 49868 | 2006-04-26 |
| 1700112141 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 405 Newberry Avenue, Room 2, Newberry, MI 49868 | 2009-10-20 |
| 1265561260 | Luce-mackinac Health Department | Home Health | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1700915709 | Luce-mackinac Health Department | Hospice Care, Community Based | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-05 |
| 1578691242 | Luce-mackinac Health Department | Public Health or Welfare | 14150 Hamilton Lake Road, Newberry, MI 49868 | 2007-03-02 |
| Find all providers in zip 49868 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891007233 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 2525 Kinard St, Newberry, SC 29108-2909 | 2010-07-13 |
| 1396935045 | Sault Tribe of Chippewa Indians | Clinic/Center | 4935 Zee Ba Tik Ln, Newberry, MI 49868-8188 | 2007-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.