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Contact Information

ONEIDA NATION
2640 W POINT RD
GREEN BAY, WI54304-1344
 Phone: 920-490-3790
 Fax: 920-490-3737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Federally Qualified Health Center (FQHC)

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

NPI Profile & details for ONEIDA NATION

NPI # 1205825130
LBN Legal business name ONEIDA NATION
Authorized official MARI KRIESCHER - (BEHAVIORAL HEALTH MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2005
Last updated 12/03/2020 - About 6 years ago
Identifiers
WI Medicaid 42189100
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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