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NPI · 1124052816 · NPPES-sourced

Little Traverse Bay Bands Of Odawa Indians

ActiveFederally Qualified Health Center
NPI Number
1124052816
Type 2 · Organisation
Taxonomy Code
261QF0400X
Contact
(231) 242-1700
Primary practice line
Last Updated
Enumerated
Primary practice addressMI · 49770-8330
1260 Ajijaak AvePetoskey, MI 49770-8330
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About this NPIWhat this record shows.

NPI 1124052816 is registered to Little Traverse Bay Bands Of Odawa Indians, a healthcare organisation classified as "Federally Qualified Health Center" and located at 1260 Ajijaak Ave in Petoskey, Michigan. The organisation's authorised official is Christina Dubois. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part A Provider

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Little Traverse Bay Bands Of Odawa Indians accepts. To confirm in-network status with your specific health plan, contact Little Traverse Bay Bands Of Odawa Indians directly at (231) 242-1700.

Frequently asked

Yes. NPI 1124052816 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Federally Qualified Health Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (231) 242-1700.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Little Traverse Bay Bands Of Odawa Indians is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QF0400X
Last updated
Enumerated
StatusActive
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Same specialtyOther Federally Qualified Health Center providers in Michigan.

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