| NPI | 1316904337 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-04-26 |
| Last Updated | 2022-10-04 |
| Authorized Official | Audrey Breakie Health - Human Services Director Phone: 9062488327 |
| Mailing Address | 12455 W Lakeshore Dr Brimley, MI 49715-9327 United States Phone: (906) 248-2031 | Fax: (906) 248-2032 📍 View Map |
| Primary Practice Address | 12455 W Lakeshore Dr Brimley, MI 49715-9327 United States Phone: (906) 248-2031 | Fax: (906) 248-8366 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MI | 2362438 | NAPB |
| MEDICAID | MI | 2362438 | - |
| MEDICAID | MI | 874998658 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332800000X – Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1316904337
Bay Mills Indian Community is an organization registered in the CMS NPPES NPI Registry with NPI number 1316904337. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Brimley, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316904337?
NPI 1316904337 belongs to Bay Mills Indian Community, a Pharmacy, Community/Retail Pharmacy in Brimley, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316904337 active?
The current status of NPI 1316904337 in the NPPES registry is Active. The record was last updated on 2022-10-04.
What specialty is NPI 1316904337?
NPI 1316904337 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316904337?
You can verify NPI 1316904337 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316904337?
The primary practice address on file for NPI 1316904337 is 12455 W Lakeshore Dr, Brimley, MI 49715-9327. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316904337 issued?
NPI 1316904337 was first issued (enumerated) on 2006-04-26. The NPPES record was last updated on 2022-10-04.
Practice Location Map
Bay Mills Indian Community is located at 12455 W Lakeshore Dr, Brimley, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bay Mills Indian Community. All records sourced from the CMS NPPES registry.