HANNAHVILLE INDIAN COMMUNITY
Medical Equipment Supplier Yellow Pages
Wilson, Michigan
Provider NPI: 1922112812
Organization Information:Organization Name: HANNAHVILLE INDIAN COMMUNITY
Practice Location:
W365 US 2 & 41 SUITE 600 WILSON, MI 49896 US
Tel: 906-723-2560 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
W365 US 2 & 41 SUITE 600 WILSON, MI 49896 US
Tel: 906-723-2560 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 332800000X | Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | MI | 5301006526 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2043505 | 01 | |
3318839 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin