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Contact Information

RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA
88385 PIKE ROAD
BAYFIELD, WI54814
 Phone: 725-779-4707
 Fax: 715-779-3777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

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

NPI Number 1730257122
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 12/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
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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