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FQHC638160A Sault Ste. Marie Tribal Health (Active)
Main Details
Name
Sault Ste. Marie Tribal Health
Subdivision Name
Munising Tribal Health Center
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638160A
Contacts
Authorizing Official
Sault Ste. Marie Tribal Health
Joel P Lumsden, Sault Tribe Health Division Assistant Director
(906) 632-0611 Ext: 46011
Primary Contact
Sault Ste. Marie Tribal Health
Danielle Goudreau, Chief Pharmacist
(906) 341-6993
Additional Details
Current Program Status
Active
Registration Date
7/9/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/31/2015
Last Recertification Date
2/23/2024
Addresses
Street Address
622 West Superior Street
Munising, MI 49862
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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