institution
St Regis Mohawk Tribe
Federally Qualified Health Center (FQHC) in Akwesasne, New York
NPI 1457344558

St Regis Mohawk Tribe is a Federally Qualified Health Center (FQHC) based in Akwesasne, NY and is specialized in Federally Qualified Health Center (FQHC). St Regis Mohawk Tribe practices in Akwesasne, NY. The NPI Number for St Regis Mohawk Tribe is 1457344558 and holds a License No. 1653200R (New York).

The current practice location address for St Regis Mohawk Tribe is 412 State Route 37, Akwesasne, NY and can be reached out via phone at 518-358-3141 and via fax at 518-358-2797.

Location: 412 State Route 37, Akwesasne, NY, 13655-3109
institution
Provider Profile Details
NPI Number
1457344558
Provider Name
St Regis Mohawk Tribe
Credential
Provider Entity Type
Organization
Address
412 State Route 37, Akwesasne, NY, 13655-3109
Phone Number
518-358-3141
Fax Number
518-358-2797
Provider Enumeration Date
08/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01178234 05 NY
00651785 05 NY
institution
Provider Business Practice Location Address Details
Address
412 State Route 37
City
State
Zip
13655-3109
Phone Number
518-358-3141
Fax Number
518-358-2797
person
Provider Business Mailing Address Details
Address
412 State Route 37
City
State
Zip
13655-3109
Phone Number
518-358-3141
Fax Number
518-358-2797
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
1653200R (New York)
Definition
Definition to come...
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