HO-CHUNK NATION (NPI# 1699988295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699988295 |
| Entity Type | Organization |
| Organization Name | HO-CHUNK NATION |
| Other Organization Name | HO-CHUNK HEALTH CARE CENTER PHARMACY |
| Practice Address |
N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 |
| Practice Telephone | 7152849851 |
| Practice Fax Number | 7152842293 |
| Mailing Telephone | 7152849851 |
| Mailing Fax Number | 7152842293 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-05-04 |
| Authorized Official Name | MELANIE DREIER (MANAGING PHARMACIST) |
| Authorized Official Telephone | 7158249851 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 8340-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2115465 | 01 | |
| WI | 39255400 | 05 |
| Other Name | Type Code |
|---|---|
| HO-CHUNK HEALTH CARE CENTER PHARMACY | Doing Business As Name - Organization |
| Ho-Chunk Health Care Center Tribal Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487812897 | Ho-chunk Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2008-06-02 |
| 1386802718 | Ho-chunk Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2008-06-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HO-CHUNK NATION | W9814 Airport Rd, Black River Falls, WI 54615-5406 |
| System for Award Management (SAM) Entities | HO-CHUNK NATION TRANSPORTATION AUTHORITY INC. | 28902 State Highway 21, Tomah, WI 54660-7524 |
| Street Address |
N6520 LUMBERJACK GUY RD |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871519579 | Charles Lau | Dentist | N6520 Lumberjack Guy Rd, Dept of Health, Black River Falls, WI 54615-5405 | 2006-07-14 |
| 1538794284 | Jennifer Lynn Hastings | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2020-03-03 |
| 1578101762 | Brianna Wing | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-12-18 |
| 1922565803 | Hussein Cheikhali | Pharmacist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-27 |
| 1710442892 | Valerie Miranda Carrimon | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-04 |
| 1437636735 | Michelle Lee Schoolcraft | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 | 2018-07-19 |
| 1689114712 | Trisha A Jacox | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-03-08 |
| 1437698966 | Serena Jahnke-berg | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-02-16 |
| 1205371846 | Fawnah W Bish | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-01-05 |
| 1356704787 | Rachel Marie Lundberg | Optometrist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2016-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386802718 | Ho-chunk Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2008-06-02 |
| 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 |
| 1487812897 | Ho-chunk Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2008-06-02 |
| 1780702829 | Bad River Band of Lake Superior Tribe of Chippewa Indians Wis | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 53585 Nokomis Rd, Ashland, WI 54806-4272 | 2007-03-27 |
| 1942331467 | Stockbridge Munsee Community | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | W12802 County Road A, Bowler, WI 54416-0086 | 2007-03-08 |
| 1447271408 | Lac Du Flambeau Band of Lake Superior Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Old Abe Rd, Lac Du Flambeau, WI 54538 | 2006-07-22 |
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on HO-CHUNK NATION.
| 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.