Organization Name: | SAGINAW CHIPPEWA INDIAN TRIBE |
NPI Number: | 1649368457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAIL L GEORGE (HEALTH ADMINISTRATOR) |
Mailing Address: | 2591 South Leaton Rd Mt Pleasant |
State: | MI US |
Postal Code: | 48858 |
Phone Number: | 9897754600 |
Fax Number: | 9897754946 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |