National Provider Identifier Database

ONEIDA NATION
Mental Health (Including Community Mental Health Center)


Contact Information

ONEIDA NATION
2640 W POINT RD
GREEN BAY, WI54304-1344
Phone: 920-490-3790
Fax: 920-490-3737
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for ONEIDA NATION

NPI Number 1205825130
Legal business name
LBN
ONEIDA NATION
Authorized official MARI KRIESCHER - (BEHAVIORAL HEALTH MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/13/2005
Last updated 12/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 42189100

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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