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BAY MILLS INDIAN COMMUNITY
NPI 1073711057
Clinic/Center - Federally Qualified Health Center (FQHC) in Brimley, MI

Active since July 11, 2007
12455 W LAKESHORE DR, BRIMLEY, MI 49715(906) 248-5527(906) 248-5765 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2022, Nov 28, 2017 (2 updates tracked since 2017).

About Bay Mills Indian Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY MILLS INDIAN COMMUNITY (NPI 1073711057) is a healthcare organization registered as a federally qualified health center (fqhc) in Brimley, Michigan and active in the NPI registry since July 2007. The organization lists Audrey Breakie, Hhs Director, as its authorized official.

NPPES Registry Identity

NPI1073711057
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBAY MILLS INDIAN COMMUNITY
Location Address12455 W LAKESHORE DRBrimley, MI 49715-9319
Mailing Address12455 W Lakeshore DrBrimley, MI 49715-9319 · (906) 248-5527 · Fax (906) 248-2496
Phone(906) 248-5527
Fax(906) 248-5765
Organization SubpartNo
Authorized OfficialAudrey BreakieHhs Director · (906) 248-8327
Enumeration DateJuly 11, 2007
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1073711057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
12455 W LAKESHORE DR, Brimley, MI 49715
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Other Identifiers 2

Medicaid1073711057MI
OtherMI9748MI · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUBRIE JOY ZUIDERVEEN DMD
Dentist
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
BAY MILLS INDIAN COMMUNITY
Clinic/Center (Federally Qualified Health Center (FQHC))
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
MRS. BROOKE STOVER
Dental Hygienist
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-8315
DOLLY MARIE COULLARD NP-C
Nurse Practitioner (Family)
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
BAY MILLS INDIAN COMMUNITY
Pharmacy (Community/Retail Pharmacy)
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-2031
BETH ANN PERSHINSKE RDH
Dental Hygienist
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
KAREN LOUISE THOMPSON LPC
Counselor (Professional)
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527
RACHEL LINDSAY HILEMAN LLMSW
Social Worker (Clinical)
12455 W LAKESHORE DR
BRIMLEY, MI 49715
Chippewa County (906) 248-5527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Mills Indian Community's NPI number?

The NPI number for Bay Mills Indian Community is 1073711057. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Bay Mills Indian Community located?

Bay Mills Indian Community is located at 12455 W Lakeshore Dr, Brimley, MI 49715. The listed phone number is (906) 248-5527.

What is Bay Mills Indian Community's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Bay Mills Indian Community accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bay Mills Indian Community as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bay Mills Indian Community was last updated on June 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.