ONEIDA TRIBE OF INDIANS OF WISCONSIN


Address: 2640 W Point Rd, Green Bay, WI 54304-1344
Phone: 9204903790

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 42189100 05

Other Provider/Organization Names

Other Name Type Code
Ka Ni Kuhli Yo Family Center Former Legal Business Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2640 W POINT RD
City GREEN BAY
State WI
Zip Code 54304-1344

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487878328 N.e.w. Community Clinic Clinic/Center 622 Bodart St, Green Bay, WI 54301-4923 2007-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326693847 Scenic Bluffs Health Center, Inc Clinic/Center 100 Blackhawk Dr, Viroqua, WI 54665-1315 2019-08-02
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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Competitor

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City GREEN BAY
Zip Code 54304

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Dataset Information

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.

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