Keweenaw Bay Indian Community D.A.Lapointe Health Facility Pharmacy

LBN: Keweenaw Bay Indian Community D.A.Lapointe Health Facility Pharmacy
Keweenaw Bay Indian Community D.A.Lapointe Health Facility Pharmacy is an health care organization with primary practice located at 102 Superior Ave , Baraga MI 49908-9673. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Keweenaw Bay Indian Community D.A.Lapointe Health Facility Pharmacy can be contacted via phone (906) 353-4555, or through Mayo, Kathy via phone (906) 353-8700.

Contact Information

Primary practice address
102 Superior Ave Baraga MI 49908-9673
Phone: (906) 353-4555
Fax: (906) 353-8066
Website:
Map and Directions
Authorized official contact:
Name: Mayo, Kathy
Phone: (906) 353-8700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1114217833
LBN Legal business name Keweenaw Bay Indian Community D.A.Lapointe Health Facility Pharmacy
DBA Doing business as
Authorized official Mayo, Kathy
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 14th, 2011
Last updated Dec 20th, 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 1114217833 NPPES
Michigan MEDICAID 1336232289

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