DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SAGINAW CHIPPEWA INDIAN TRIBE

MEDICARE: SAGINAW CHIPPEWA INDIAN TRIBE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center370007MI
2324500000XSubstance Abuse Rehabilitation Facility370007MI
3171M00000XCase Manager/Care Coordinator
42084P0800XPsychiatry Physician
5106H00000XMarriage & Family Therapist
6101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1013041698
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAGINAW CHIPPEWA INDIAN TRIBE
Provider Business Mailing Address
First Line : 2800 S SHEPHERD RD
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-8966
Country : US
Telephone Number : 989-775-4850
Fax Number : 989-775-4851
Provider Business Practice Location Address
First Line : 2800 S SHEPHERD RD
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-8966
Country : US
Telephone Number : 989-775-4850
Fax Number : 989-775-4851
Authorized Official
Title or Position : BUSINESS SERVICES MANAGER
Name : LACIE KELLY
Credential :
Telephone Number : 989-775-4850
Provider Enumeration Date : 03/15/2007
Last Update Date : 02/05/2026

Similar Medicare Providers

1497538276 — KATELYN MARIE PELCHER LLMSW
Practice Location Address:
2800 S SHEPHERD RD
MOUNT PLEASANT, MI
48858-8966
Practice Phone: 899-775-4850
Practice Fax:
1770941734 — AMY KISEL MA LLPC, CAADC
Practice Location Address:
2800 S SHEPHERD RD
MOUNT PLEASANT, MI
48858-8966
Practice Phone: 989-775-4850
Practice Fax:
1518328699 — MRS. DAWN MENA LMSW
Practice Location Address:
2800 S SHEPHERD RD
MOUNT PLEASANT, MI
48858-8966
Practice Phone: 989-775-4850
Practice Fax:
1386116812 — CHRISTINA RENEE OTTO LLMSW, DP-C
Practice Location Address:
2800 S SHEPHERD RD
MOUNT PLEASANT, MI
48858-8966
Practice Phone: 989-775-4850
Practice Fax:
1528694312 — KATELYN WENDLING
Practice Location Address:
2800 S SHEPHERD RD
MOUNT PLEASANT, MI
48858-8966
Practice Phone: 989-775-4850
Practice Fax:
1760092027 — MS. AMANDA J CHAPMAN
Practice Location Address:
2800 S SHEPHERD RD
MOUNT PLEASANT, MI
48858-8966
Practice Phone: 989-775-4850
Practice Fax:

Directions to “SAGINAW CHIPPEWA INDIAN TRIBE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.