Potawatomi Health & Wellness Center

LBN: Forest County Potawatomi Community
Potawatomi Health & Wellness Center is an health care organization with primary practice located at 8201 Mish Ko Swen Drive , Crandon WI 54520-8631. The organization recently has 15 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietary Manager, Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Hearing and Speech, Ambulatory Health Care Facilities / Podiatric, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Clinical Medical Laboratory, Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service), Suppliers / Hearing Aid Equipment. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Forest County Potawatomi Community can be contacted via phone (715) 478-4300, or through Daniels, Ned via phone (715) 478-4824.

Contact Information

Primary practice address
8201 Mish Ko Swen Drive Crandon WI 54520-8631
Fax: (715) 478-4300
Website:
Authorized official contact:
Name: Daniels, Ned

Profile Details

NPI number 1285741306
LBN Legal business name Forest County Potawatomi Community
DBA Doing business as Potawatomi Health & Wellness Center
Authorized official Daniels, Ned
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Dec 9th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285741306 NPPES
Wisconsin Other 391235059016 BLUE CROSS BLUE SHIELD
Wisconsin Other 41752300 BLUE CROSS BLUE SHIELD
Wisconsin Other 42182600 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 32956600 BLUE CROSS BLUE SHIELD
Wisconsin Other 42182600 BLUE CROSS BLUE SHIELD
Wisconsin Other DA0385 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 42182600 BLUE CROSS BLUE SHIELD
Wisconsin Other 44006100 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 44006100 BLUE CROSS BLUE SHIELD
Wisconsin MEDICAID 41752300 BLUE CROSS BLUE SHIELD

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