ST. CROIX TRIBAL COUNCIL (NPI# 1659582211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659582211 |
| Entity Type | Organization |
| Organization Name | ST. CROIX TRIBAL COUNCIL |
| Other Organization Name | ST. CROIX TRIBAL LABORATORY |
| Practice Address |
4404 State Road 70 Webster WI 54893-9251 |
| Practice Telephone | 7153498554 |
| Mailing Telephone | 7153498554 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JESSICA JEAN BERG (R.N. LABORATORY SUPERVISOR) |
| Authorized Official Telephone | 7153498554 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | WI | Laboratories |
| Other Name | Type Code |
|---|---|
| St. Croix Tribal Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487875787 | St. Croix Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4404 State Rd 70, Webster, WI 54893 | 2007-05-02 |
| 1013128685 | St. Croix Tribal Council | Dentist | 4404 State Road 70, Webster, WI 54893-9251 | 2007-05-25 |
| 1366654980 | St. Croix Tribal Council | Optometrist | 4404 State Road 70, Webster, WI 54893-9251 | 2007-05-04 |
| 1831170091 | St. Croix Tribal Council | Clinic/Center | 4404 State Road 70, Webster, WI 54893-9251 | 2005-11-07 |
| Street Address |
4404 STATE ROAD 70 |
| City | WEBSTER |
| State | WI |
| Zip Code | 54893-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233350 | St. Croix Tribal Behavioral Health Clinic | Counselor | 4404 State Road 70, Webster, WI 54893-9251 | 2005-08-24 |
| 1124678818 | Muskadee Linda Montano | Social Worker | 4404 State Road 70, Webster, WI 54893-9251 | 2019-09-16 |
| 1194380543 | Deborah Ann Knutsen | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2019-05-01 |
| 1316415516 | Sandra Johnson | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-11-06 |
| 1801371190 | Dianna Kay Stumph | Registered Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-10-02 |
| 1184109597 | Lona Marie Noll | Licensed Practical Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-10-02 |
| 1598245045 | Kimberly M Stypula | Licensed Practical Nurse | 4404 State Road 70, Webster, WI 54893-9251 | 2018-08-15 |
| 1881171601 | Penny Lynn Bearheart | Counselor | 4404 State Road 70, Webster, WI 54893-9251 | 2018-07-24 |
| 1720573082 | Susan Evelyn Merchant | Dental Hygienist | 4404 State Road 70, Webster, WI 54893-9251 | 2018-06-28 |
| 1538652383 | Kayce R Rachner | Dental Hygienist | 4404 State Road 70, Webster, WI 54893-9251 | 2018-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427288711 | Jamie Ruiz | Licensed Practical Nurse | 27105 Lily Lake Rd, Webster, WI 54893 | 2009-07-21 |
| 1487875787 | St. Croix Tribal Council | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 4404 State Rd 70, Webster, WI 54893 | 2007-05-02 |
| 1851421903 | St Croix Falls Eye Associates | Optometrist | 7440 Main St West, Webster, WI 54893 | 2007-03-07 |
| 1396823324 | Benjamin Dale Blowers | Chiropractor | 7461 Main St West, Webster, WI 54893-0095 | 2006-11-01 |
| 1699195065 | Shannon Steiner | Licensed Practical Nurse | 8757 Perida Rd, Webster, WI 54893-7422 | 2014-04-23 |
| 1861662678 | Cary Mitchell Behm | Chiropractor | 26768 Lakeland Ave N, Webster, WI 54893-8106 | 2008-03-07 |
| 1174673511 | John W Ingalls | Family Medicine | 7456 Main St W, Webster, WI 54893-8205 | 2007-01-10 |
| 1265950240 | Erin M Vogland | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2017-08-30 |
| 1255627972 | Leah B Jacobs | Nurse Practitioner | 7456 Main St W, Webster, WI 54893-8205 | 2011-06-21 |
| 1477843258 | Kathryn Ann Freese | Physical Therapy Assistant | 7456 Main St W, Webster, WI 54893-8205 | 2011-04-13 |
| Find all providers in zip 54893 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580301 | Inca Toxicology LLC | Clinical Medical Laboratory | 218 W Nasa Pkwy Ste A, Webster, TX 77598-5208 | 2019-10-22 |
| 1497129936 | Occtox | Clinical Medical Laboratory | 100 Nasa Parkway, Ste 410, Webster, TX 77598-5345 | 2015-11-20 |
| 1073982948 | Laboratory Corporation of America | Clinical Medical Laboratory | 250 Blossom St Ste 180, Webster, TX 77598-4243 | 2015-09-21 |
| 1477972883 | Aurum Toxicology LLC | Clinical Medical Laboratory | 100 E Nasa Pkwy, Suite 408, Webster, TX 77598-5206 | 2014-04-14 |
| 1346669793 | Argentum Toxicology LLC | Clinical Medical Laboratory | 100 E. Nasa Pkwy, Suite 409, Webster, TX 77598-5206 | 2014-04-14 |
| 1649516683 | Advanced Compounding Enterprises | Clinical Medical Laboratory | 250 Blossom St Ste 120c, Webster, TX 77598-4243 | 2012-12-19 |
| 1316170251 | Ranjit Patel Md Pa | Clinical Medical Laboratory | 218 W Nasa Rd 1 # 1b, Webster, TX 77598-5208 | 2009-08-26 |
| 1285651638 | Bestcare Laboratory Services, LLC | Clinical Medical Laboratory | 202 N Texas Ave, Suite 100, Webster, TX 77598-4924 | 2006-07-15 |
| 1811974181 | Laboratory Corporation of America | Clinical Medical Laboratory | 1010 South Ponds Drive, Webster, TX 77598-1409 | 2005-12-28 |
| 1811557838 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 500 N Kobayashi, Webster, TX 77598-4707 | 2019-06-20 |
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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.