Sault Tribe of Chippewa Indians

A Medicare group practice based in Sault Sainte Marie, MI: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 7012982937), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012982937The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
MI, TX
Enrollments
12
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 9 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040901001322 MI Part B Supplier - Clinic/Group Practice 1477721058
O20070425000014 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477721058
O20070425000032 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477721058
O20070621000744 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477721058
O20070621000747 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477721058
O20051021000891 MI Part B Supplier - Clinic/Group Practice 1902074586
O20051021000877 MI Part B Supplier - Clinic/Group Practice 1205004884
O20051018000637 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477721058
O20051021000788 MI Part B Supplier - Independent Clinical Laboratory 1750434395
O20090403000598 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477721058
O20251231001757 MI Part A Provider - Federally Qualified Health Center (FQHC) 1477389740
O20260330000978 TX Part A Provider - Federally Qualified Health Center (FQHC) 1184584922

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 34

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (29).

Sources for this page