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Contact Information

LAC COURTE OREILLES GOVERNING
9940 N COUNTY HWY K
HAYWARD, WI54843-2186
 Phone: 715-638-5169
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Clinic/Center

261Q00000X
 

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for LAC COURTE OREILLES GOVERNING

NPI Number 1598890378
LBN Legal business name LAC COURTE OREILLES GOVERNING
Authorized official RAE BAKER - (BILLING MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/22/2007
Last updated 10/20/2025 - About 8 months ago
Identifiers n/a
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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