SAULT TRIBE OF CHIPPEWA INDIANS – NPI #1861545337
Clinic/Center

SAULT TRIBE OF CHIPPEWA INDIANS is an AHC clinic located in DE TOUR VILLAGE, MI. NPPES has assigned the NPI number 1861545337 to SAULT TRIBE OF CHIPPEWA INDIANS on January 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SAULT TRIBE OF CHIPPEWA INDIANS is also known by the name DETOUR VILLAGE MEDICAL CENTER. 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 19 years ago on Jul 10, 2007. 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 SAULT TRIBE OF CHIPPEWA INDIANS below.

NPI Profile for
SAULT TRIBE OF CHIPPEWA INDIANS

NPI Number
1861545337
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
SAULT TRIBE OF CHIPPEWA INDIANS
Other Name: DETOUR VILLAGE MEDICAL CENTER
Primary location
346 SUPERIOR ST
DE TOUR VILLAGE, MI 49725
Phone: (906) 297-3204 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - SAULT TRIBE OF CHIPPEWA INDIANS is subpart of another organization.
Authorized Official
BONNIE CULFA
HEALTH DIRECTOR
Phone: (906) 632-5200
Updated
Identifiers

Identifiers for SAULT TRIBE OF CHIPPEWA INDIANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFQHC FACILITY NUMBERMI231875
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)		 231875

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.