National Provider Identifier Database

ST CROIX CHIPPEWA INDIANS OF WI
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.


Contact Information

ST. CROIX CHIPPEWA INDIANS OF WI
4404 STATE RD 70
WEBSTER, WI54893
Phone: 715-349-8554
Fax: 715-349-8529
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for ST. CROIX CHIPPEWA INDIANS OF WI

NPI Number 1487875787
Legal business name
LBN
ST. CROIX CHIPPEWA INDIANS OF WI
Authorized official AMBER HEINZ - (HEALTH DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/02/2007
Last updated 10/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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