| Organization Name: | SAULT TRIBE OF CHIPPEWA INDIANS |
| NPI Number: | 1023208774 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BONNIE L CULFA (DIVISION OF HEALTH DIRECTOR) |
| Mailing Address: | 3500 Ludington St Suite 210 Escanaba |
| State: | MI US |
| Postal Code: | 498294216 |
| Phone Number: | 9067869211 |
| Fax Number: | 9067863338 |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 07/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |