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Contact Information

LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI54538-0189
 Phone: 715-588-1511
 Fax: 715-588-3903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS

NPI # 1306016563
LBN Legal business name LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Authorized official CHARMAINE HOPKINS - (FRC EXEC. ADMIN ASST.)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/04/2008
Last updated 04/22/2026 - About 2 months ago
Identifiers
WI Medicaid 100368442
WI Medicaid 42145400
WI Medicaid 43084300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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