A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Ambulance |
341600000X | 59 | Ambulance Service Provider | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Dental |
261QD0000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Pharmacist |
183500000X | |||
Primary Care |
261QP2300X | |||
Registered Nurse |
163W00000X |
| NPI # | 1497744015 |
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| LBN Legal business name | RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS | ||||||||||||||||||||
| Authorized official | DIANE ERICKSON - (HEALTH SERVICES ADMINISTRATOR) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||
| Enumeration date | 10/17/2005 | ||||||||||||||||||||
| Last updated | 02/24/2023 - About 3 years ago | ||||||||||||||||||||
| Identifiers |
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