RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA


Address: 88455 Pike Road, Bayfield, WI 54814
Phone: 7157793707

RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA (NPI# 1902077464) 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) 1902077464
Entity Type Organization
Organization Name RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA
Other Organization Name RED CLIFF COMMUNITY HEALTH CENTER
Practice Address 88455 Pike Road
Bayfield
WI 54814
Mailing Address 88385 Pike Rd
Bayfield
WI 54814-4818
Practice Telephone 7157793707
Practice Fax Number 7157793711
Mailing Telephone 7157793700
Mailing Fax Number 7157793704
Enumeration Date 2008-03-12
Last Update Date 2008-03-14
Authorized Official Name MS. PATRICIA ANN DERAGON-NAVARRO (HEALTH ADMINISTRATOR)
Authorized Official Telephone 7157793707
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP1700X Registered Nurse
Specialization: Perinatal
WI Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI PRE-NATAL MEDICAID NUMBER 44004200 01

Other Provider/Organization Names

Other Name Type Code
Red Cliff Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205007796 Red Cliff Band of Lake Superior Chippewa Social Worker 88455 Pike Road, Bayfield, WI 54814 2008-03-12
1215095641 Red Cliff Band of Lake Superior Chippewa Dentist 88385 Pike Rd, Bayfield, WI 54814-4818 2006-12-05
1730257122 Red Cliff Band of Lake Superior Chippewa Pharmacist 88385 Pike Road, Bayfield, WI 54814 2006-12-01
1083885545 Red Cliff Band of Lake Superior Chippewa Durable Medical Equipment & Medical Supplies 88455 Pike Road, Bayfield, WI 54814 2008-03-12
1497744015 Red Cliff Band of Lake Superior Chippewa Clinic/Center 36745 Aiken Rd, Bayfield, WI 54814-4579 2005-10-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS 88455 Pike Rd, Bayfield, WI 54814-4741

Office Location

Street Address 88455 PIKE ROAD
City BAYFIELD
State WI
Zip Code 54814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205007796 Red Cliff Band of Lake Superior Chippewa Social Worker 88455 Pike Road, Bayfield, WI 54814 2008-03-12
1083885545 Red Cliff Band of Lake Superior Chippewa Durable Medical Equipment & Medical Supplies 88455 Pike Road, Bayfield, WI 54814 2008-03-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760830103 Orthopedic & Spine Therapy of Poplar Sc Physical Therapist 33 N 1st St, Bayfield, WI 54814 2016-05-26
1265812481 Valley Birch, LLC Community/Behavioral Health 249 Rittenhouse Avenue, Bayfield, WI 54814 2015-06-03
1518137652 Ellie Heydari Dentist 36745 Aiken Rd., Red Cliff Community Health Center, Bayfield, WI 54814 2008-03-05
1174672844 Red Cliff Band of Lake Superior Chippewa Indians Ambulance 37435 Sth 13, Bayfield, WI 54814 2007-01-10
1730257122 Red Cliff Band of Lake Superior Chippewa Pharmacist 88385 Pike Road, Bayfield, WI 54814 2006-12-01
1568484764 Janice K Wilber Pharmacist 88455 Pike Road, Highway 13, Bayfield, WI 54814 2006-07-24
1730102203 Barbara M Tellier Pharmacist 88455 Pike Road, Highway 13, Bayfield, WI 54814 2006-07-25
1609898055 Jacob P Geisler Social Worker 88455 Pike Road, Highway 13, Bayfield, WI 54814 2006-07-24
1538181011 Grace M Heitsch Pediatrics 88455 Pike Road, Highway 13, Bayfield, WI 54814 2006-07-24
1811034390 Bayfield Community Ambulance Service Ambulance 813 Washington Ave., Bayfield, WI 54814-0230 2007-01-31
Find all providers in zip 54814

Taxonomy Information

Taxonomy Code 163WP1700X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Perinatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700337979 Robert Randolph Registered Nurse 4200 N Holton St Ste 110, Milwaukee, WI 53212-1065 2016-10-21
1336764190 Nature Is Nurturing Midwifery and Doula Services Registered Nurse 8713 W Burleigh St, Milwaukee, WI 53222-3736 2020-06-08
1932252533 Oconto County Health & Human Services Registered Nurse 501 Park Ave, Oconto, WI 54153 2007-01-19

Competitor

Search similar providers

City BAYFIELD
Zip Code 54814

Improve Information

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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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