NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS
53585 NOKOMIS ROAD
ASHLAND, WI54806-4272
 Phone: 715-682-7133
 Fax: 715-685-7857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Clinic/Center

261Q00000X
 

Dentist

122300000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS

NPI Number 1699701375
LBN Legal business name BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS
Authorized official DEBRA TUTOR - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/24/2006
Last updated 04/06/2016 - About 10 years ago
Identifiers
WI Medicaid 32957600
WI Other TRZ020 TRAILBLAZER/MEDICARE
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.

Reviews for BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby AHC Facilities
ASHLAND DENTAL CLINIC INC
300 9TH AVE W
ASHLAND, WI
BAD RIVER HEALTH CLINIC
1 MAPLE STREET
ODANAH, WI
MICHAEL R LAWLER DDS SC
6881 S LAKE AVENUE
LAKE NEBAGAMON, WI
COUNTY OF HOUGHTON DBA WESTERN UP HEALTH DEPARTMENT
210 N MOORE ST
BESSEMER, MI
HAYWARD FAMILY DENTISTRY SC
10541 N RANCH RD
HAYWARD, WI
KAY E HAWKSFORD, DDS
15541 HIGHWAY 77 E
HAYWARD, WI
HAWKSFORD DENTAL CARE, LLC
15541 W HWY 77 E
HAYWARD, WI
MERCER DENTAL LLC
5222 HWY 51 N
MERCER, WI
PAUL M TRYGSTAD, DDS
123 WATERFRONT DRIVE
TWO HARBORS, MN
DANIEL L MARSH, DDS
1001 N FIRST AVENUE
PARK FALLS, WI

  View all AHC Facilities
v2.403