FQHC — tribal (638) · MI
Little Traverse Bay Bands of Odawa Indians
- 0Registered locations
- 3Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 April 2023In 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 FQHC638545B), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638545B
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 2023
- Certification date
- 26 February 2026
- Record last edited
- 26 February 2026
Identifiers
- 340B ID
- FQHC638545B
- Entity type as filed
- FQHC638
- NPI
- 1124052816 (MI), 1689387821 (MI)
2390 Mitchell Park Dr, Unit D, Petoskey MI 49770
Associated locations
| Organization | Address | Where |
|---|---|---|
| Little Traverse Bay Bands of Odawa Indians | 2390 Mitchell Park Dr, Unit D | Petoskey MI 49770 |
| Crooked Tree Wellness Clinic | 2390 Mitchell Park Dive Unit D | Petoskey MI 49770 |
| Little Traverse Bay Bands of Odawa Indians | Crooked Tree Pharmacy, 2390 Mitchell Park Dr Ste D | Petoskey MI 49770 |
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.