KEWEENAW BAY INDIAN COMMUNITY MIHP PROGRAM
NPI 1134363609
Clinic/Center - Federally Qualified Health Center (FQHC) in Baraga, MI

NPI Status: Active since April 28, 2009

Contact Information

102 SUPERIOR AVE
BARAGA, MI
ZIP 49908
Phone: (906) 353-4542
Fax: (906) 353-8799

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About KEWEENAW BAY INDIAN COMMUNITY MIHP PROGRAM

This page provides the complete NPI Profile along with additional information for Keweenaw Bay Indian Community Mihp Program, a primary care provider established in Baraga, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1134363609 assigned on April 2009. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Joel Bruce Mills (Medical Billing Specialist)

NPI
1134363609
Provider Name
KEWEENAW BAY INDIAN COMMUNITY MIHP PROGRAM
Entity Type
Organization
Location Address
102 SUPERIOR AVE BARAGA, MI 49908
Location Phone
(906) 353-4542
Location Fax
(906) 353-8799
Mailing Address
102 SUPERIOR AVE BARAGA, MI 49908
Mailing Phone
(906) 353-4542
Mailing Fax
(906) 353-8799
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2009
Last Update Date
04-28-2009
Code Navigator

A primary care provider (PCP) like Keweenaw Bay Indian Community Mihp Program sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOEL BRUCE MILLS

Authorized Official Title
MEDICAL BILLING SPECIALIST
Authorized Official Phone
(906) 353-4542

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
231845MEDICARE PIN (08)MI 

Reviews for KEWEENAW BAY INDIAN COMMUNITY MIHP PROGRAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134363609
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216466660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 6 + 6 + 6 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1134363609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972588317 ARTHUR SCHIMELFENIG PHD
Individual
Psychologist102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-4542
1336232289KEWEENAW BAY INDIAN COMMUNITY
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-4542
1114010063MS. MARY MARGARET TIKKANEN
Individual
Dental Assistant102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8787
1558457986MS. DEBORAH ANN ARENS LPN
Individual
Licensed Practical Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1093801425MRS. DEBORAH SUE VIZINA LPN
Individual
Licensed Practical Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1720174154MRS. SUZAN JEANNE OLLILA RN
Individual
Registered Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1235225673MRS. THERESA FAYE MASSIE
Individual
Dental Assistant102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8787
1003902438MRS. RUTH L KELLER RN
Individual
Registered Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1255427688MRS. BECKY J TUSSING RN
Individual
Registered Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1659457893MS. KATHLEEN ANN WITKOWSKI ACSW
Individual
Social Worker (Clinical)102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1437236965MRS. LAURA MARIE CLADAS REGISTERED NURSE
Individual
Registered Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1124105663MS. KATHLEEN S MAYO RN
Individual
Registered Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1992882435MRS. MARY DEE A SHANAHAN LPN
Individual
Licensed Practical Nurse102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1760560197MS. MARIANNE J BRADY PHD
Individual
Psychologist (Clinical)102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1417024613MRS. DEBRA NANCY HERRALA RDH
Individual
Dental Hygienist102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8787
1750539904 JOSEPH JAMES ARCAND
Individual
Social Worker (Clinical)102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8666
1588930317 KRISTINE NYQUIST FNP
Individual
Nurse Practitioner (Family)102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8666
1528155843DR. RICHARD BRENT JOHNSON DDS
Individual
Dentist (General Practice)102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1528146081 JOSEPH P ZOBRO MD
Individual
Family Medicine102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700
1053499483MR. CHUNG OH DO
Individual
Family Medicine102 SUPERIOR AVE
BARAGA, MI 49908
(906) 353-8700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134363609, enumerated in the NPI registry as an "organization" on April 28, 2009

The provider is located at 102 Superior Ave Baraga, Mi 49908 and the phone number is (906) 353-4542

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 28, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.