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

Hessel Community Health Center

Practice address

3355 N 3 Mile Road
Hessel, MI 49745

Phone

(906) 484-2727

Fax

(906) 484-2139

NPI assigned

May 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

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

• Hessel Community Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922200203. Details of each certification follow.

• CCN 231923 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 231923

Legal name

SAULT TRIBE OF CHIPPEWA INDIANS

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Sep 5, 2007

Last certification

Sep 5, 2007

Ownership / control type

For profit – corporation

Organization structure

GovernmentNon-profit

Enrollment address

3355 N 3 Mile Rd
Hessel, MI 49745-8301

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sault Tribe of Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Sault Sainte Marie, MI
  • NPI 1477721058

  O20070621000744

  Same enrollment

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sault Tribe of Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Marquette, MI
  • NPI 1184584922

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sault Tribe of Chippewa Indians

  • Family Nurse Practitioner
  • Sault Sainte Marie, MI
  • NPI 1205004884

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sault Tribe of Chippewa Indians

  dba Healing Place

  • Federally Qualified Health Center (FQHC)
  • Sault Sainte Marie, MI
  • NPI 1477389740

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sault Tribe of Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Sault Sainte Marie, MI
  • NPI 1477721058

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sault Tribe of Chippewa Indians

  • Clinical Medical Laboratory
  • Sault Sainte Marie, MI
  • NPI 1750434395

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Sault Tribe of Chippewa Indians

  • Optometrist
  • Sault Sainte Marie, MI
  • NPI 1902074586

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922200203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 N 3 MILE ROAD",
            "city": "HESSEL",
            "state": "MI",
            "postal_code": "49745",
            "telephone_number": "906-484-2727",
            "fax_number": "906-484-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 N 3 MILE ROAD",
            "city": "HESSEL",
            "state": "MI",
            "postal_code": "49745",
            "telephone_number": "906-484-2727",
            "fax_number": "906-484-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAULT TRIBE OF CHIPPEWA INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "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": "Hessel Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sault Tribe of Chippewa Indians

• Federally Qualified Health Center (FQHC) in Hessel, MI
• Providers in Hessel, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.