Hannahville Health Center Pharmacy

LBN: Hannahville Indian Community
Hannahville Health Center Pharmacy is an health care organization with primary practice located at W365 Us 2 & 41 Suite 600, Wilson MI 49896. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Hannahville Indian Community can be contacted via phone (906) 723-2560, or through Meshigaud, Gayle via phone (906) 723-2500.

Contact Information

Primary practice address
W365 Us 2 & 41 Suite 600 Wilson MI 49896
Phone: (906) 723-2560
Fax: (906) 723-2566
Website:
Map and Directions
Authorized official contact:
Name: Meshigaud, Gayle
Phone: (906) 723-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 5301006526 Michigan
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1922112812
LBN Legal business name Hannahville Indian Community
DBA Doing business as Hannahville Health Center Pharmacy
Authorized official Meshigaud, Gayle
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Apr 6th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922112812 NPPES
Michigan MEDICAID 3318839
Michigan Other 2043505

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