NOTTAWASEPPI HURON BAND OF THE POTAWATOMI (NPI# 1770500548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770500548 |
| Entity Type | Organization |
| Organization Name | NOTTAWASEPPI HURON BAND OF THE POTAWATOMI |
| Other Organization Name | NHBP HEALTH DEPARTMENT |
| Practice Address |
4415 Byron Center Ave Sw Wyoming MI 49519-4800 |
| Mailing Address |
1474 Mno - Bmadzewen Way Fulton MI 49052-9602 |
| Practice Telephone | 6162490159 |
| Practice Fax Number | 6162498688 |
| Mailing Telephone | 2697294422 |
| Mailing Fax Number | 2697294460 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | ROSALIND JOHNSTON (HEALTH DIRECTOR) |
| Authorized Official Telephone | 2697294422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
18732 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NHBP Health Department | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NOTTAWASEPPI HURON BAND OF THE POTAWATOMI | 1485 Mno-Bmadzewen Way, Fulton, MI 49052 |
| Street Address |
4415 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467979419 | Doctor of Chiropractic and Health Science Pllc | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2017-08-29 |
| 1962949420 | Jessica Marie Lopez | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2017-01-23 |
| 1467516633 | Halliday Health Solutions, L.L.C. | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2006-12-21 |
| 1295742351 | Michael Richard Halliday | Chiropractor | 4415 Byron Center Ave Sw, Wyoming, MI 49519-4800 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| Taxonomy Code | 261QP0904X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, Federal |
| Definition to come... |
Please comment or provide details below to improve the information on NOTTAWASEPPI HURON BAND OF THE POTAWATOMI.
| 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.