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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP1700X |
Registered Nurse Specialization: Perinatal |
WI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | PRE-NATAL MEDICAID NUMBER | 44004200 | 01 |
Other Name | Type Code |
---|---|
Red Cliff Community Health Center | Doing Business As Name - Organization |
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 |
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 |
Street Address |
88455 PIKE ROAD |
City | BAYFIELD |
State | WI |
Zip Code | 54814 |
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 |
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 Code | 163WP1700X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Perinatal |
Definition to come... |
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 |
Please comment or provide details below to improve the information on RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA.
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.