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Contact Information

HO CHUNK NATION
S2845 WHITE EAGLE RD
BARABOO, WI53913-9064
 Phone: 608-355-5177
 Fax: 608-356-1233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HO CHUNK NATION

NPI # 1972725240
LBN Legal business name HO CHUNK NATION
Authorized official WALLY APLAND - (HEALTH DEPT DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 04/06/2023 - About 3 years ago
Identifiers
WI License # 8332-42
WI Medicaid 33246800
Other 2109072 PK
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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