Sault Tribe of Chippewa Indians

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SAULT TRIBE OF CHIPPEWA INDIANS

Doing business as

Escanaba Community Health Center

Practice address

3500 Ludington St
Suite 210
Escanaba, MI 49829-4216

Phone

(906) 786-9211

Fax

(906) 786-3338

NPI assigned

May 30, 2007

Organization subpart

No

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

Health Division Director

Phone

(906) 632-5275

Specialties & licenses 1

Addresses

Other names 1

• Escanaba Community Health Center Doing business as

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831390426",
    "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": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULFA",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH DIVISION DIRECTOR",
        "authorized_official_telephone_number": "906-632-5275",
        "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": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandy Rutter, APRN CRNA
• Casey C Sager, M.D.
• Jo Ann Samuelson, FN-P
• Crystal Sarasin
• Sault Tribe of Chippewa Indians
• Carol Casey Schiltz, LMSW
• Kayla Schmeltzer
• Sarah Rose Schneider
• Amber Schram
• James Schwake II, LMSW

• Federally Qualified Health Center (FQHC) in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Federally Qualified Health Center (FQHC) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.