Pokagon Band Health Services Pharmacy

LBN: Pokagon Band Of Potawatomi Indians
Pokagon Band Health Services Pharmacy is an health care organization with primary practice located at 32652 Kno Dr , Dowagiac MI 49047. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Pokagon Band Of Potawatomi Indians can be contacted via phone (269) 782-4570, or through Clay, Matt via phone (269) 468-4250.

Contact Information

Primary practice address
32652 Kno Dr Dowagiac MI 49047
Phone: (269) 782-4570
Fax: (269) 782-2996
Website:
Map and Directions
Authorized official contact:
Name: Clay, Matt
Phone: (269) 468-4250

Health care specialties

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

Profile Details

NPI number 1669786257
LBN Legal business name Pokagon Band Of Potawatomi Indians
DBA Doing business as Pokagon Band Health Services Pharmacy
Authorized official Clay, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2010
Last updated Mar 16th, 2016 - about 8 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 1669786257 NPPES
Other 2126168 PK

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