NPIMap

Organization Active NPI

Sault Tribe of Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Newberry, MI
National Provider Identifier
1396935045
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
4935 Zee Ba Tik LN
Newberry, MI 49868-8188
Phone
(906) 293-8181
Fax
(906) 293-3001
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 Culfa, RN MSN
Title
Division of Health Director
Phone
(906) 632-5200

Specialties & licenses 1

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

Addresses

Primary practice location

4935 Zee Ba Tik LN
Newberry, MI 49868-8188

Mailing address

4935 Zee Ba Tik LN
Newberry, MI 49868-8188
Phone (906) 293-8181

Other names 1

  • Newberry Community Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Original Band of Sault16 organizations share this tax ID, including this one
Part of
Original Band of Sault

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": "1396935045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 ZEE BA TIK LN",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498688188",
            "telephone_number": "906-293-8181",
            "fax_number": "906-293-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 ZEE BA TIK LN",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498688188",
            "telephone_number": "906-293-8181",
            "fax_number": "906-293-3001"
        }
    ],
    "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_title_or_position": "DIVISION OF HEALTH DIRECTOR",
        "authorized_official_telephone_number": "906-632-5200",
        "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": "Newberry Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newberry, 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.