1. Home
  2. Directory
  3. Michigan
  4. Baraga
  5. Clinic Center
  6. NPI Profile

KEWEENAW BAY INDIAN COMMUNITY
NPI 1336232289
Clinic/Center - Federally Qualified Health Center (FQHC) in Baraga, MI

Active since October 02, 2006
102 SUPERIOR AVE, BARAGA, MI 49908(906) 353-4542(906) 353-8799 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keweenaw Bay Indian Community NPPES

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

KEWEENAW BAY INDIAN COMMUNITY (NPI 1336232289) is a healthcare organization registered as a federally qualified health center (fqhc) in Baraga, Michigan and active in the NPI registry since October 2006. The organization lists Joel Bruce Mills, Medical Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1336232289
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameKEWEENAW BAY INDIAN COMMUNITY
Location Address102 SUPERIOR AVEBaraga, MI 49908-9673
Mailing Address102 Superior AveBaraga, MI 49908-9673 · (906) 353-4542 · Fax (906) 353-8799
Phone(906) 353-4542
Fax(906) 353-8799
Organization SubpartNo
Authorized OfficialJoel Bruce MillsMedical Billing Clerk · (906) 353-4542
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 28, 2010
✔ NPI 1336232289 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 · 231845
102 SUPERIOR AVE, Baraga, MI 49908
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified231845MI

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keweenaw Bay Indian Community is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keweenaw Bay Indian Community, which bills Medicare for the services this clinician delivers.

Clinician (1)

Darryl Tonemah, PHD,
Clinical Psychologist
NPI 1922575570
102 SUPERIOR AVE
Baraga, MI 49908
(906) 353-8700
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keweenaw Bay Indian Community's NPI number?

The NPI number for Keweenaw Bay Indian Community is 1336232289. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Keweenaw Bay Indian Community located?

Keweenaw Bay Indian Community is located at 102 Superior Ave, Baraga, MI 49908. The listed phone number is (906) 353-4542.

What is Keweenaw Bay 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.

Is Keweenaw Bay Indian Community enrolled in Medicare?

Yes. Keweenaw Bay Indian Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keweenaw Bay Indian Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Keweenaw Bay Indian Community. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Keweenaw Bay Indian Community accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Keweenaw Bay 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 Keweenaw Bay Indian Community was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.