RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA; NPI #1902077464

Contact Information

RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA

88455 PIKE ROAD
BAYFIELD, WI 54814

Phone: 715-779-3707
Fax: 715-779-3711
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Perinatal	163WP1700X

Indicates primary specialty

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NPI Profile & details for RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA

NPI # 1902077464

LBN Legal business name RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA

Authorized official PATRICIA DERAGON-NAVARRO - (HEALTH ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/12/2008

Last updated 03/14/2008 - About 18 years ago

Identifiers

Other

44004200

PRE-NATAL MEDICAID NUMBER

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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RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA

Contact Information

Specialty

Perinatal

NPI Profile & details for RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA

Reviews for RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA