Bad River Clinic Pharmacy

LBN: Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.
Bad River Clinic Pharmacy is an health care organization with primary practice located at 53585 Nokomis Road , Ashland WI 54806-4272. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as 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 Williams, June Louise via phone (715) 682-7133.

Contact Information

Primary practice address
53585 Nokomis Road Ashland WI 54806-4272
Phone: (715) 682-7133
Fax: (715) 685-8810
Website:
Map and Directions
Authorized official contact:
Name: Williams, June Louise
Phone: (715) 682-7133

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1780702829
LBN Legal business name Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.
DBA Doing business as Bad River Clinic Pharmacy
Authorized official Williams, June Louise
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jun 3rd, 2024 - about 5 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780702829 NPPES
Wisconsin MEDICAID 32787800

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