NOTTAWASEPPI HURON BAND OF THE POTAWATOMI; NPI #1770500548

Contact Information

NOTTAWASEPPI HURON BAND OF THE POTAWATOMI

4415 BYRON CENTER AVE SW
WYOMING, MI 49519-4800

Phone: 616-249-0159
Fax: 616-249-8688
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, Federal	261QP0904X

Indicates primary specialty

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NPI Profile & details for NOTTAWASEPPI HURON BAND OF THE POTAWATOMI

NPI # 1770500548

LBN Legal business name NOTTAWASEPPI HURON BAND OF THE POTAWATOMI

Authorized official ROSALIND JOHNSTON - (HEALTH DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2006

Last updated 07/09/2015 - About 11 years ago

Identifiers

License #

18732

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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