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LAC VIEUX DESERT HEALTH CENTER AND PHARMACY
NPI 1760536007
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Watersmeet, MI

Active since January 23, 2007CLIA 23D0382454 · Accreditation
N5241 US HIGHWAY 45, WATERSMEET, MI 49969(906) 358-4905(906) 358-4929 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2021, Oct 17, 2016, Sep 21, 2016 and 1 more (4 updates tracked since 2016).

About Lac Vieux Desert Health Center And Pharmacy NPPES

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

LAC VIEUX DESERT HEALTH CENTER AND PHARMACY (NPI 1760536007) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Watersmeet, Michigan and active in the NPI registry since January 2007. The organization holds an CLIA Accreditation certificate valid through June 27, 2027 and lists Sadie Valliere, Health Director, as its authorized official.

NPPES Registry Identity

NPI1760536007
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameLAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Location AddressN5241 US HIGHWAY 45Watersmeet, MI 49969-5115
Mailing AddressN5241 Us Highway 45Watersmeet, MI 49969-5115 · (906) 358-4905 · Fax (906) 358-4929
Phone(906) 358-4905
Fax(906) 358-4929
Organization SubpartNo
Authorized OfficialSadie ValliereHealth Director · (906) 358-4587
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 18, 20214 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1760536007 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 ListedPharmacyTaxonomy 333600000X · License 5301006253 (MI)
N5241 US HIGHWAY 45, Watersmeet, MI 49969
Open in Google Maps ↗

Other Names 1

Doing Business AsLac Vieux Desert Health Center And Pharmacy

Other Identifiers 2

Medicaid33205200WI
Medicaid2354455MI

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0382454

Lac Vieux Desert Health Clinic · Watersmeet, MI
Active · expires Jun 27, 2027
CLIA Number23D0382454
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorDr. Adrienne D. Laverdure
Laboratory Phone(906) 358-4587
Laboratory LocationLac Vieux Desert Health ClinicN5241 Us Highway 45, Watersmeet, MI 49969
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Medical Equipment Supplier Medicare DMEPOS 21

Medicare supplier enrollment and the product categories Lac Vieux Desert Health Center carries, from the Medicare DMEPOS supplier directory.

Lac Vieux Desert Health Center

DMEPOS supplier · Watersmeet, MIOperated by Lac Vieux Desert Band Of Lake Superior Chippewa Indians
✔

Accepts Medicare assignment

Lac Vieux Desert Health Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20482223
Medicare Participant SinceSeptember 15, 2015
Supplier LocationN5241 Us Hwy 45Watersmeet, MI 49969
Phone(906) 358-4587
Provider TypeIndian Health Service · Oral Surgery - Dentist · Multi-Specialty - Physician
Supplier Specialties
Pharmacy Optometrist

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

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

ROBERT HANSEN DC
Chiropractor
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4588
DR. DANI FRIEDLEY PHARMD
Pharmacist
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4905
REBECCA LARSON DDS
Dentist (General Practice)
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4931
LAC VIEUX DESERT BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Clinic/Center (Federally Qualified Health Center (FQHC))
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4588
PATRICK CARAMELLA
Pharmacist
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4905
MICHAEL SCHULTZ
Pharmacist
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4587
JESSICA ANNE HOFFMAN FNP
Nurse Practitioner (Family)
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4588
EMILY E BUSHA PA-C
Physician Assistant (Medical)
N5241 US HIGHWAY 45
WATERSMEET, MI 49969
Gogebic County (906) 358-4588

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 Lac Vieux Desert Band Of Lake Superior Chippewa Indians's NPI number?

The NPI number for Lac Vieux Desert Band Of Lake Superior Chippewa Indians is 1760536007. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Lac Vieux Desert Health Center And Pharmacy.

Where is Lac Vieux Desert Band Of Lake Superior Chippewa Indians located?

Lac Vieux Desert Band Of Lake Superior Chippewa Indians is located at N5241 Us Highway 45, Watersmeet, MI 49969. The listed phone number is (906) 358-4905.

What is Lac Vieux Desert Band Of Lake Superior 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.

Does Lac Vieux Desert Band Of Lake Superior Chippewa Indians accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lac Vieux Desert Health Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Lac Vieux Desert Band Of Lake Superior Chippewa Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0382454) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lac Vieux Desert Band Of Lake Superior 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 45 other insurers list Lac Vieux Desert Band Of Lake Superior 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 Lac Vieux Desert Band Of Lake Superior Chippewa Indians was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.