POKAGON BAND OF POTAWATOMI INDIANS (NPI# 1669786257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669786257 |
| Entity Type | Organization |
| Organization Name | POKAGON BAND OF POTAWATOMI INDIANS |
| Other Organization Name | POKAGON BAND HEALTH SERVICES PHARMACY |
| Practice Address |
32652 Kno Dr Dowagiac MI 49047 |
| Practice Telephone | 2697824570 |
| Practice Fax Number | 2697822996 |
| Mailing Telephone | 2697824570 |
| Mailing Fax Number | 2697822996 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | MATT CLAY (DIRECTOR OF HEALTH SERVICES) |
| Authorized Official Telephone | 2694684250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126168 | 01 |
| Other Name | Type Code |
|---|---|
| Pokagon Band Health Services Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225185705 | Pokagon Band of Potawatomi Indians | Dietitian, Registered | 32652 Kno, Dowagiac, MI 49047 | 2007-01-05 |
| 1497833271 | Pokagon Band of Potawatomi Indians | Clinic/Center | 32652 Kno Drive, Dowagiac, MI 49047-0180 | 2006-11-01 |
| Street Address |
32652 KNO DR |
| City | DOWAGIAC |
| State | MI |
| Zip Code | 49047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497149124 | Karianne Ely | Specialist/Technologist | 92407 Center Dr, Dowagaic, MI 49047 | 2015-03-19 |
| 1851619332 | Paddington Healthcare of Michigan LLC | Skilled Nursing Facility | 55432 Colby Street, Dowagiac, MI 49047 | 2010-05-10 |
| 1649502592 | Dowagiac Surgery PC | Surgery | 106 South Lowe St, Dowagiac, MI 49047 | 2010-02-03 |
| 1134336605 | Stephanie Lynn Munson | Specialist/Technologist | 29650 M62 W, Dowagiac, MI 49047 | 2007-05-16 |
| 1689705444 | Michael R Dewitt | Pharmacist | 56151 M51 South, Dowagiac, MI 49047 | 2007-03-07 |
| 1225185705 | Pokagon Band of Potawatomi Indians | Dietitian, Registered | 32652 Kno, Dowagiac, MI 49047 | 2007-01-05 |
| 1588726517 | Lee Memorial Hospital Corporation | Clinic/Center | 67892 M-152, Dowagiac, MI 49047 | 2006-12-15 |
| 1326156332 | Megan Lynne Foote | Pharmacist | 56151 M-51, Dowagiac, MI 49047 | 2006-08-29 |
| 1467567057 | Jonathan Wade Gillesby | Dentist | 530 Riverside Drive, Dowagiac, MI 49047 | 2006-08-21 |
| 1851331748 | Matthew Vincent Cripe | Dentist | 303 Hamilton St, Dowagiac, MI 49047 | 2006-06-07 |
| Find all providers in zip 49047 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1588108260 | Little Traverse Bay Bands of Odawa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1250 Lears Rd, Petoskey, MI 49770-9252 | 2016-12-14 |
| 1891871539 | Sault Tribe of Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2864 Ashmun Street, Sault Sainte Marie, MI 49783 | 2006-10-27 |
| 1346331584 | Sault Tribe of Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1140 N State St, Suite 2805, Saint Ignace, MI 49781-1048 | 2006-09-27 |
| 1316904337 | Bay Mills Indian Community | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 12124 W Lakeshore Dr, Brimley, MI 49715-9319 | 2006-04-26 |
Please comment or provide details below to improve the information on POKAGON BAND OF POTAWATOMI INDIANS.
| 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.