ONEIDA TRIBE OF INDIANS OF WISCONSIN (NPI# 1205825130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205825130 |
Entity Type | Organization |
Organization Name | ONEIDA TRIBE OF INDIANS OF WISCONSIN |
Other Organization Name | KA NI KUHLI YO FAMILY CENTER |
Practice Address |
2640 W Point Rd Green Bay WI 54304-1344 |
Mailing Address |
Po Box 365 Oneida WI 54155-0365 |
Practice Telephone | 9204903790 |
Practice Fax Number | 9204903737 |
Mailing Telephone | 9204903790 |
Mailing Fax Number | 9204903883 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2015-06-29 |
Authorized Official Name | MARI KRIESCHER (BEHAVIORAL HEALTH MANAGER) |
Authorized Official Telephone | 9204903790 |
Authorized Official Credential | MS LPC CSAC ICS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42189100 | 05 |
Other Name | Type Code |
---|---|
Ka Ni Kuhli Yo Family Center | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407916174 | Oneida Tribe of Indians of Wisconsin | Skilled Nursing Facility | 2901 S Overland Rd, Oneida, WI 54155-8959 | 2006-12-11 |
1649506080 | Oneida Tribe of Indians of Wisconsin | Health Educator | 525 Airport Rd, Oneida, WI 54155-0935 | 2009-10-20 |
1689908527 | Oneida Tribe of Indians of Wisconsin | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-24 |
Street Address |
2640 W POINT RD |
City | GREEN BAY |
State | WI |
Zip Code | 54304-1344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639735582 | Belinda L Mclester | Health Educator | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2019-05-16 |
1750803920 | Emma Corrine White | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2017-07-10 |
1376918136 | Jessica Degroot | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2015-12-04 |
1306231683 | Susan Exworthy | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2015-04-02 |
1790182921 | Christina Courtney | Social Worker | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2014-12-03 |
1801217708 | Heidi Blanks | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2013-12-18 |
1083906580 | Rebecca M Krueger | Counselor | 2640 W Point Rd, Oneida Behavioral Health, Green Bay, WI 54304 | 2011-05-03 |
1609167816 | Martha Brito | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2011-04-21 |
1326377359 | Mary Beth King | Counselor | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-12-22 |
1689908527 | Oneida Tribe of Indians of Wisconsin | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
Find all providers in zip 54304 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487878328 | N.e.w. Community Clinic | Clinic/Center | 622 Bodart St, Green Bay, WI 54301-4923 | 2007-04-12 |
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1942718762 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 2607 S 5th St, Milwaukee, WI 53207-1418 | 2018-01-15 |
1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.