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Contact Information

HO CHUNK NATION
N6520 LUMBERJACK GUY RD
BLACK RIVER FALLS, WI54615-5405
 Phone: 715-284-9851
 Fax: 715-284-5051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for HO CHUNK NATION

NPI # 1922263656
LBN Legal business name HO CHUNK NATION
Authorized official LIZ LUND - (PROVIDER NETWORK MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/22/2008
Last updated 03/23/2018 - About 8 years ago
Identifiers
WI Medicaid 44015100
WI Other 52D2018007 CLIA
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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