HO CHUNK NATION; NPI #1316002694

Contact Information

HO CHUNK NATION

S2845 WHITE EAGLE RD
BARABOO, WI 53913-9064

Phone: 608-355-1240
Fax: 608-356-7122
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for HO CHUNK NATION

NPI Number 1316002694

LBN Legal business name HO CHUNK NATION

Authorized official LIZ LUND - (PROVIDER NETWORK MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/27/2006

Last updated 01/06/2026 - About 5 months ago

Identifiers

WI	License #	1413
WI	Medicaid	100075017
WI	Medicaid	32957200

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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