Pokagon Band Of Potawatomi Indians
Clinic/Center, Federally Qualified Health Center (FQHC) in Dowagiac, MI. Organization (NPI-2).
NPI number1497833271
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1497833271
- Entity type
- Organization (NPI-2)
- Legal business name
- Pokagon Band Of Potawatomi Indians
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Pokagon Health Service (Doing Business As)
- Mshkiki Community Clinic (Other Name)
Practice location
32652 Kno DriveDowagiac, MI 49047-0180
Phone 269-782-4141 · Fax 269-783-1236
Mailing address
Po Box 180Dowagiac, MI 49047-0180
Phone 269-782-4141 · Fax 269-783-1236
Other practice locations
1986 Mall Pl
Benton Harbor, MI 49022-2332
Benton Harbor, MI 49022-2332
Phone 269-945-5858
Authorized official
Priscilla Gatties
Director Of Health Services
2697824141
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Other Federally Qualified Health Center (FQHC) providers in Dowagiac, MI
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