Lac Vieux Desert Health Center And Pharmacy

LBN: Lac Vieux Desert Band Of Lake Superior Chippewa Indians
Lac Vieux Desert Health Center And Pharmacy is an health care organization with primary practice located at N5241 Us Highway 45 , Watersmeet MI 49969-5115. 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. Lac Vieux Desert Band Of Lake Superior Chippewa Indians can be contacted via phone (906) 358-4905, or through Valliere, Sadie via phone (906) 358-4587.

Contact Information

Primary practice address
N5241 Us Highway 45 Watersmeet MI 49969-5115
Phone: (906) 358-4905
Fax: (906) 358-4929
Website:
Map and Directions
Authorized official contact:
Name: Valliere, Sadie
Phone: (906) 358-4587

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X 5301006253 Michigan

Profile Details

NPI number 1760536007
LBN Legal business name Lac Vieux Desert Band Of Lake Superior Chippewa Indians
DBA Doing business as Lac Vieux Desert Health Center And Pharmacy
Authorized official Valliere, Sadie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated May 18th, 2021 - about 3 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 1760536007 NPPES
Wisconsin MEDICAID 33205200
Wisconsin MEDICAID 2354455

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