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Sault Tribe of Chippewa Indians

Organization Active NPI Federally Qualified Health Center (FQHC) · Marquette, MI

NPI 1184584922 · NPPES record last updated Nov 14, 2025

Key facts

NPI
1184584922
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
SAULT TRIBE OF CHIPPEWA INDIANS
Practice address
1210 S Front St
Marquette, MI 49855-5120
Phone
(906) 225-1616
Fax
(906) 225-1633
NPI assigned
Nov 14, 2025
Organization subpart
No

Authorized official

Name
Joel Lumsden
Title
Assistant Health Director
Phone
(906) 632-5200

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

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

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2334245Marquette Tribal Health Center
1210 S Front Street, Marquette, MI 49855		Certificate of waiverNov 17, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Federally qualified health center certification: CCN C71055

Legal name
SAULT TRIBE OF CHIPPEWA INDIANS
Doing business as
MARQUETTE TRIBAL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 20, 2026
Last certification
Mar 20, 2026
Ownership / control type
For profit – corporation
Organization structure
Government · Non-profit
Enrollment address
1210 S Front Street
Marquette, MI 49855-5120

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joel Lumsden
Individual 		Corporate Officer
Assistant Health Director		 Jan 1, 2025
W-2 Managing Employee
Assistant Health Director		 Jan 1, 2025

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sault Tribe of Chippewa Indians
Sault Sainte Marie, MI · CCN 231838		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1994
Sault Tribe of Chippewa Indians
Manistique, MI · CCN 231842		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1994
Sault Tribe of Chippewa Indians
Munising, MI · CCN 231843		 Federally qualified health center 5% Or Greater Direct Ownership Interest Jun 25, 2007
Sault Tribe of Chippewa Indians
Hessel, MI · CCN 231923		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 5, 2007
Sault Tribe of Chippewa Indians
Newberry, MI · CCN 231922		 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 5, 2007
Sault Tribe of Chippewa Indians
Saint Ignace, MI · CCN 231841		 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1994

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260330000978 TX Part a Provider - Federally Qualified Health Center (FQHC) 7012982937 Practice locations: Marquette, MI

National Provider Directory

Tax ID family
Sault Ste Marie Tribe O (16 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

1210 S Front St
Marquette, MI 49855-5120

Mailing address

1210 S Front St
Marquette, MI 49855-5120
Phone (906) 225-1616

Other providers in Marquette, MI

All providers in Marquette, MI · Federally Qualified Health Center (FQHC) in Michigan

Sources for this page

Verify at the official NPI Registry.