Gun Lake Tribe

LBN: Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians
Gun Lake Tribe is an health care organization with primary practice located at 2880 Mission Dr , Shelbyville MI 49344-9580. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians can be contacted via phone (269) 397-1760, or through Wesaw, Kelly via phone (269) 397-1760.

Contact Information

Primary practice address
2880 Mission Dr Shelbyville MI 49344-9580
Phone: (269) 397-1760
Fax: (269) 397-1763
Website:
Map and Directions
Authorized official contact:
Name: Wesaw, Kelly
Phone: (269) 397-1760

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1952685588
LBN Legal business name Match-E-Be-Nash-She-Wish Band Of Pottawatomi Indians
DBA Doing business as Gun Lake Tribe
Authorized official Wesaw, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2011
Last updated Jan 19th, 2022 - 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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