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GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS
NPI 1669227203
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Peshawbestown, MI

Active since April 18, 2024
2300 N STALLMAN RD, PESHAWBESTOWN, MI 49682(231) 534-7350(231) 534-7351 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Nov 5, 2024, Apr 18, 2024 (3 updates tracked since 2024).

About Grand Traverse Band Of Ottawa And Chippewa Indians NPPES

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

GRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS (NPI 1669227203) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Peshawbestown, Michigan and active in the NPI registry since April 2024. The organization lists Kimberly Jane Hines, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1669227203
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameGRAND TRAVERSE BAND OF OTTAWA AND CHIPPEWA INDIANS
Location Address2300 N STALLMAN RDPeshawbestown, MI 49682-9158
Mailing Address2300 N Stallman RdPeshawbestown, MI 49682-9158 · (231) 534-7350 · Fax (231) 534-7351
Phone(231) 534-7350
Fax(231) 534-7351
Organization SubpartNo
Authorized OfficialKimberly Jane HinesPharmacy Manager · (231) 543-7350
Enumeration DateApril 18, 2024
Last NPPES UpdateFebruary 26, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1669227203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
2300 N STALLMAN RD, Peshawbestown, MI 49682
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

MRS. SANDRA LEANNE HANDYSIDES RN, FNP
Nurse Practitioner (Family)
2300 N STALLMAN RD
PESHAWBESTOWN, MI 49682
Leelanau County (231) 534-7200
RANEE LOUISE COMPO CNA
Nurse's Aide
2300 N STALLMAN RD
PESHAWBESTOWN, MI 49682
Leelanau County (231) 534-7234
EMILY MARIE SCHMITT DNP
Nurse Practitioner (Family)
2300 N STALLMAN RD
PESHAWBESTOWN, MI 49682
Leelanau County (231) 534-7200
MRS. KIMBERLY JANE HINES RPH
Pharmacist
2300 N STALLMAN RD
SUTTONS BAY, MI 49682
Leelanau County (231) 492-4996
MRS. KRISTEN M HOLSTON RDH
Dental Hygienist
2300 N STALLMAN RD
PESHAWBESTOWN, MI 49682
Leelanau County (231) 534-7212
KIMBERLY SUE OLDENBURG NP
Nurse Practitioner (Primary Care)
2300 N STALLMAN RD
SUTTONS BAY, MI 49682
Leelanau County (231) 534-7200
ROSALYN STRINGER APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2300 N STALLMAN RD
SUTTONS BAY, MI 49682
Leelanau County (231) 534-7090
MRS. ANGELA KAY SCHAUB FNP
Registered Nurse
2300 N STALLMAN RD
SUTTONS BAY, MI 49682
Leelanau County (231) 534-7477

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 Grand Traverse Band Of Ottawa And Chippewa Indians's NPI number?

The NPI number for Grand Traverse Band Of Ottawa And Chippewa Indians is 1669227203. It was assigned to this organization in the NPPES registry on April 18, 2024.

Where is Grand Traverse Band Of Ottawa And Chippewa Indians located?

Grand Traverse Band Of Ottawa And Chippewa Indians is located at 2300 N Stallman Rd, Peshawbestown, MI 49682. The listed phone number is (231) 534-7350.

What is Grand Traverse Band Of Ottawa And Chippewa Indians's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

What insurance does Grand Traverse Band Of Ottawa And Chippewa Indians accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 37 other insurers list Grand Traverse Band Of Ottawa And Chippewa 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 Grand Traverse Band Of Ottawa And Chippewa Indians was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.