LITTLE RIVER BAND OF OTTAWA INDIANS
NPI 1154590917
Clinic/Center - Federally Qualified Health Center (FQHC) in Manistee, MI

Q: What is Little River Band Of Ottawa Indians's NPI number?

The NPI number for Little River Band Of Ottawa Indians is 1154590917. It was assigned to this organization in the NPPES registry on February 26, 2008.

Q: What is Little River Band Of Ottawa Indians's specialty?

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

Active since February 26, 2008

2608 GOVERNMENT CENTER DR, MANISTEE, MI 49660(231) 723-8299(231) 398-9684 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Little River Band Of Ottawa Indians NPPES

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

LITTLE RIVER BAND OF OTTAWA INDIANS (NPI 1154590917) is a healthcare organization registered as a federally qualified health center (fqhc) in Manistee, Michigan and active in the NPI registry since February 2008. The organization lists Janice Grant, Health Services Supervisor, as its authorized official.

NPPES Registry Identity

NPI1154590917

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameLITTLE RIVER BAND OF OTTAWA INDIANS

Location Address2608 GOVERNMENT CENTER DRManistee, MI 49660-8302

Mailing Address2608 Government Center DrManistee, MI 49660-8302 · (231) 723-8299 · Fax (231) 398-9684

Phone(231) 723-8299

Fax(231) 398-9684

Organization SubpartNo

Authorized OfficialJanice GrantHealth Services Supervisor · (231) 723-8299

Enumeration DateFebruary 26, 2008

Last NPPES UpdateMarch 22, 2016

✔ NPI 1154590917 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

License✔ Licensed in MI · 23-1870

2608 GOVERNMENT CENTER DR, Manistee, MI 49660

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Other Identifiers 1

Other080E110030Bcbsmi

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 9

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

MEGAN MICHELLE VANSICKLE FNP-BC

Nurse Practitioner (Family)