Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Little Traverse Bay Bands of Odawa Indians

Organization Federally Qualified Health Center (FQHC) · NPI 1124052816

Little Traverse Bay Bands of Odawa Indians is a Federally Qualified Health Center (FQHC) in Petoskey, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1260 Ajijaak Ave
Petoskey, MI 49770-8330
Phone: (231) 242-1700
Fax: (231) 242-1717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1124052816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Dubois — Assistant Health Director · (231) 242-1611
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address1260 Ajijaak Ave, Petoskey, MI 49770-8330

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