| Organization Name: | BAY MILLS INDIAN COMMUNITY |
| NPI Number: | 1326005273 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BROOKS (CFO) |
| Mailing Address: | 3406 S Pine Village Rd Brimley |
| State: | MI US |
| Postal Code: | 497159324 |
| Phone Number: | 9062482021 |
| Fax Number: | 9062482023 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 4704182384 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |