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LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
NPI 1124052816
Clinic/Center - Federally Qualified Health Center (FQHC) in Petoskey, MI

Active since July 10, 2006
1260 AJIJAAK AVE, PETOSKEY, MI 49770(231) 242-1700(231) 242-1717 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Little Traverse Bay Bands Of Odawa Indians NPPES

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

LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS (NPI 1124052816) is a healthcare organization registered as a federally qualified health center (fqhc) in Petoskey, Michigan and active in the NPI registry since July 2006. The organization lists Christina Dubois, Assistant Health Director, as its authorized official.

NPPES Registry Identity

NPI1124052816
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Location Address1260 AJIJAAK AVEPetoskey, MI 49770-8330
Mailing Address1260 Ajijaak AvePetoskey, MI 49770-8330 · (231) 242-1700 · Fax (231) 242-1717
Phone(231) 242-1700
Fax(231) 242-1717
Organization SubpartNo
Authorized OfficialChristina DuboisAssistant Health Director · (231) 242-1611
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1124052816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1260 AJIJAAK AVE, Petoskey, MI 49770
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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, McLaren Health Plan Community.Insurance ›

Other Providers at the Same Location NPPES 4

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

MR. MASON SYLAR VALOR PHD, LPC, CAADC
Counselor (Professional)
1260 AJIJAAK AVE
PETOSKEY, MI 49770
Emmet County (231) 242-1640
VICTORIA FAIRBAIRN
Counselor (Mental Health)
1260 AJIJAAK AVE
PETOSKEY, MI 49770
Emmet County (231) 242-1642
MISSY MARIE MCNEIL LMSW
Social Worker (Clinical)
1260 AJIJAAK AVE
PETOSKEY, MI 49770
Emmet County (231) 242-1640
FRANK ANIMIKWAM MD
Family Medicine
1260 AJIJAAK AVE
PETOSKEY, MI 49770
Emmet County (231) 242-1700

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 Little Traverse Bay Bands Of Odawa Indians's NPI number?

The NPI number for Little Traverse Bay Bands Of Odawa Indians is 1124052816. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Little Traverse Bay Bands Of Odawa Indians located?

Little Traverse Bay Bands Of Odawa Indians is located at 1260 Ajijaak Ave, Petoskey, MI 49770. The listed phone number is (231) 242-1700.

What is Little Traverse Bay Bands Of Odawa Indians'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 Little Traverse Bay Bands Of Odawa Indians accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Little Traverse Bay Bands Of Odawa Indians 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 Little Traverse Bay Bands Of Odawa Indians was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.