FQHC — tribal (638) · MI
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
- 0Registered locations
- 1Associated locations
- 2Contract pharmacies
- 0With no end date
- 1 October 1999In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS” (340B ID FQHC638421), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638421
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 October 1999
- Certification date
- 26 February 2026
- Record last edited
- 26 February 2026
Identifiers
- 340B ID
- FQHC638421
- Entity type as filed
- FQHC638
- NPI
- 1588108260 (MI)
1260 Ajijaak Avenue, PETOSKEY MI 49770
Associated locations
| Organization | Address | Where |
|---|---|---|
| LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS | 1260 Ajijaak Avenue | PETOSKEY MI 49770 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| PDS-I MICHIGAN, INC. | PETOSKEY, MI | 1 July 2013 | 1 February 2022 |
| R & R PRESCRIPTION SERVICES | PETOSKEY, MI | 17 December 2004 | 1 February 2022 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.