Bad River Health And Wellness Center
LBN: Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
Bad River Health And Wellness Center is an health care organization with primary practice located at 53585 Nokomis Road , Ashland WI 54806-4272. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis can be contacted via phone (715) 682-7133, or through Tutor, Debra Ann via phone (715) 682-7133.
Contact Information
Primary practice address
53585 Nokomis Road
Ashland WI 54806-4272
Phone: (715) 682-7133
Fax: (715) 685-7857
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | Wisconsin | |
Agencies / Public Health or Welfare | 251K00000X | Wisconsin | |
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Wisconsin | |
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Wisconsin |
Profile Details
NPI number | 1699701375 |
---|---|
LBN Legal business name | Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis |
DBA Doing business as | Bad River Health And Wellness Center |
Authorized official | Tutor, Debra Ann |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jun 24th, 2006 |
Last updated | Apr 6th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699701375 | NPPES |
Wisconsin | Other | TRZ020 | TRAILBLAZER/MEDICARE |
Wisconsin | MEDICAID | 32957600 | TRAILBLAZER/MEDICARE |
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