NPI:
1770500548
Provider Name:
NOTTAWASEPPI HURON BAND OF THE POTAWATOMI
Doing Business As: NHBP HEALTH DEPARTMENT
Classification:
Clinic/Center - 261QP0904X
Entity Type:
Organization
Specialization: Public Health, Federal
CLIA Number: 23D1022523
Address:
4415 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone:
(616) 249-0159
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NOTTAWASEPPI HURON BAND OF THE POTAWATOMI is a public health and federal clinic center in Wyoming, MI. NOTTAWASEPPI HURON BAND OF THE POTAWATOMI NPI is 1770500548. The provider is registered as an organization entity type.
The provider Is Doing Business As Nhbp Health Department.
The provider's business location address is:
4415 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519-800
Phone: (616) 249-0159
Fax: (616) 249-8688
The provider's authorized official is Rosalind Johnston .
The authorized official title is Health Director and has the following contact phone number (269) 729-4422.
The CLIA number assigned to this NPI record is 23D1022523 - other - tribal health dept with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/9/2015.