Little Traverse Bay Bands of Oda Wa Indians
Federally qualified health center in Petoskey, MI, Medicare certification number 231192.
Medicare certification
Provider of Services- CCN
- 231192
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Jan 19, 2023
- Last certification
- Jan 19, 2023
- Address
- 2930 Mitchell Park Dr Ste D
Petoskey, MI 49770
(231) 242-1617
NPI records for this facility (CCN to NPI Mapping) 2
-
- Federally Qualified Health Center (FQHC)
- Petoskey, MI
- NPI 1124052816
Medicare enrollment -
- Federally Qualified Health Center (FQHC)
- Petoskey, MI
- NPI 1871272583
Medicare enrollment
Other federally qualified health centers in Petoskey, MI
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.