Red Cliff Comm Health Center Phy

LBN: Red Cliff Band Of :Ake Superior
Red Cliff Comm Health Center Phy is an health care organization with primary practice located at 36745 Aiken Rd , Bayfield WI 54814-4579. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Red Cliff Band Of :Ake Superior can be contacted via phone (715) 779-3157, or through Peterson, Richard via phone (715) 779-3700.

Contact Information

Primary practice address
36745 Aiken Rd Bayfield WI 54814-4579
Phone: (715) 779-3157
Fax: (715) 779-3501
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Richard
Phone: (715) 779-3700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1275606808
LBN Legal business name Red Cliff Band Of :Ake Superior
DBA Doing business as Red Cliff Comm Health Center Phy
Authorized official Peterson, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 19th, 2018 - about 6 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 1275606808 NPPES
Other 2108718 PK
MEDICAID 32956200 PK

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