NPIMap

Organization Active NPI

Sault Tribe of Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Escanaba, MI
National Provider Identifier
1023208774
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SAULT TRIBE OF CHIPPEWA INDIANS
Practice address
3500 Ludington St
Suite 210
Escanaba, MI 49829-4216
Phone
(906) 786-9211
Fax
(906) 786-3338
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SAULT TRIBE OF CHIPPEWA INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bonnie L Culfa, RN, MSN
Title
Division of Health Director
Phone
(906) 632-5272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3500 Ludington St
Suite 210
Escanaba, MI 49829-4216

Mailing address

3500 Ludington St
Suite 210
Escanaba, MI 49829-4216
Phone (906) 786-9211

Other names 1

  • Escanaba Community Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Sault Tribe of Indians16 organizations share this tax ID, including this one
Part of
Sault Tribe of Indians

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1023208774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 LUDINGTON ST",
            "address_2": "SUITE 210",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294216",
            "telephone_number": "906-786-9211",
            "fax_number": "906-786-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LUDINGTON ST",
            "address_2": "SUITE 210",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294216",
            "telephone_number": "906-786-9211",
            "fax_number": "906-786-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULT TRIBE OF CHIPPEWA INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAULT TRIBE OF CHIPPEWA INDIANS",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "CULFA",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIVISION OF HEALTH DIRECTOR",
        "authorized_official_telephone_number": "906-632-5272",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escanaba Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.