Little Traverse Bay Bands of Odawa Indians
NPI 1124052816 · Federally Qualified Health Center (FQHC) · Petoskey, MI
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Little Traverse Bay Bands of Odawa Indians is a Federally Qualified Health Center (FQHC) organization in Petoskey, MI (NPI 1124052816).
Provider details
- NPI number
- 1124052816
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christina Dubois, Assistant Health Director(231) 242-1611
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Frequently asked questions
- What is Little Traverse Bay Bands of Odawa Indians's NPI number?
- Little Traverse Bay Bands of Odawa Indians's National Provider Identifier (NPI) is 1124052816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Little Traverse Bay Bands of Odawa Indians?
- Little Traverse Bay Bands of Odawa Indians is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Little Traverse Bay Bands of Odawa Indians located?
- Little Traverse Bay Bands of Odawa Indians's practice location on file with NPPES is 1260 Ajijaak Ave, Petoskey, MI 49770-8330.
- What is Little Traverse Bay Bands of Odawa Indians's phone number?
- The practice phone number listed in the NPPES registry for Little Traverse Bay Bands of Odawa Indians is (231) 242-1700.
- Does Little Traverse Bay Bands of Odawa Indians accept Medicare?
- Little Traverse Bay Bands of Odawa Indians is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Little Traverse Bay Bands of Odawa Indians?
- The authorized official listed on Little Traverse Bay Bands of Odawa Indians's NPPES record is Christina Dubois, Assistant Health Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Little Traverse Bay Bands of Odawa Indians's NPI active?
- Yes — Little Traverse Bay Bands of Odawa Indians's NPI (1124052816) is active in the NPPES registry as of the last update on 2025-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.