National Provider Identifier Database

STOCKBRIDGE MUNSEE COMMUNITY
Federally Qualified Health Center (FQHC)

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.


Contact Information

STOCKBRIDGE MUNSEE COMMUNITY
W12802 CTY RD A
BOWLER, WI54416
Phone: 715-793-4144
Fax: 715-793-5028
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for STOCKBRIDGE MUNSEE COMMUNITY

NPI Number 1629070180
Legal business name
LBN
STOCKBRIDGE MUNSEE COMMUNITY
Authorized official WALLACE MILLER - (TRIBAL CHAIRMAN)
Entity Organization
Organization subpart No
Enumeration date 08/15/2005
Last updated 03/25/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 32955900
  • WI Medicaid: 41730300
  • WI Medicaid: 42125400
  • WI Medicaid: 44008700
  • WI Other: 39114544+040 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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