KEWEENAW BAY INDIAN COMMUNITY – NPI #1336232289
Clinic/Center

KEWEENAW BAY INDIAN COMMUNITY is an AHC clinic located in BARAGA, MI. NPPES has assigned the NPI number 1336232289 to KEWEENAW BAY INDIAN COMMUNITY on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Oct 28, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEWEENAW BAY INDIAN COMMUNITY below.

NPI Profile for
KEWEENAW BAY INDIAN COMMUNITY

NPI Number
1336232289
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEWEENAW BAY INDIAN COMMUNITY
Primary location
102 SUPERIOR AVE
BARAGA, MI 49908-9673
Phone: (906) 353-4542 Fax: (906) 353-8799
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOEL MILLS
MEDICAL BILLING CLERK
Phone: (906) 353-4542
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 MI 231845

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.