HO CHUNK NATION (NPI# 1922263656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922263656 |
| Entity Type | Organization |
| Organization Name | HO CHUNK NATION |
| Other Organization Name | HO-CHUNK COMMUNITY HEALTH CARE NURSING PROGRAM |
| Practice Address |
N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 |
| Practice Telephone | 7152849851 |
| Practice Fax Number | 7152845051 |
| Mailing Telephone | 7152849851 |
| Mailing Fax Number | 7152845051 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | MS. LIZ M LUND (PROVIDER NETWORK MANAGER) |
| Authorized Official Telephone | 7152849851 |
| Is Organization Subpart | Y |
| Parent Organization Name | HO CHUNK NATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CLIA | 52D2018007 | 01 |
| WI | 44015100 | 05 |
| Other Name | Type Code |
|---|---|
| Ho-Chunk Community Health Care Nursing Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154630390 | Ho Chunk Nation | Clinic/Center | 916 Chak-hah-chee Lane, Nekoosa, WI 54457 | 2010-10-06 |
| 1790095800 | Ho Chunk Nation | Clinic/Center | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2010-10-08 |
| 1427367663 | Ho Chunk Nation | Clinic/Center | 27374 State Highway 21, Tomah, WI 54660-4501 | 2010-10-06 |
| 1659680718 | Ho Chunk Nation | Clinic/Center | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2010-10-06 |
| 1568771624 | Ho Chunk Nation | Clinic/Center | N7240 Us Highway 45, Wittenberg, WI 54499-8567 | 2010-10-06 |
| 1518276294 | Ho Chunk Nation | Clinic/Center | 724 Main St, La Crosse, WI 54601-4121 | 2010-09-29 |
| 1972725240 | Ho Chunk Nation | Pharmacy | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2007-05-03 |
| 1407911795 | Ho Chunk Nation | Clinic/Center | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2006-12-27 |
| 1316002694 | Ho Chunk Nation | Clinic/Center | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2006-12-27 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
| Find all providers with the same taxonomy | ||||
| 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.