HO CHUNK NATION (NPI# 1972725240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972725240 |
| Entity Type | Organization |
| Organization Name | HO CHUNK NATION |
| Other Organization Name | HOUSE OF WELLNESS PHARMACY |
| Practice Address |
S2845 White Eagle Rd Baraboo WI 53913-9064 |
| Practice Telephone | 6083555177 |
| Practice Fax Number | 6083561233 |
| Mailing Telephone | 6083551240 |
| Mailing Fax Number | 6083561233 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | ABIGAIL MOORE (MANAGING PHARMACIST) |
| Authorized Official Telephone | 6083551240 |
| 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 | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 8332-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33246800 | 05 | |
| PK | 2109072 | 01 |
| Other Name | Type Code |
|---|---|
| HOUSE OF WELLNESS PHARMACY | Doing Business As Name - Organization |
| House of Wellness Tribal Pharmacy | 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 |
| 1922263656 | Ho Chunk Nation | Clinic/Center | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2008-07-22 |
| 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 |
S2845 WHITE EAGLE RD |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-9064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898818 | Chandra S Reddy | Internal Medicine | S2845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2006-07-07 |
| 1720610454 | Brittany Marie Hayes | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2020-02-11 |
| 1417414574 | Rosalee Anne Bertram | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2019-02-25 |
| 1407378193 | Abigail Moore | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2017-07-13 |
| 1265977425 | Kyla Ripp | Dietitian, Registered | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-12-27 |
| 1134672975 | Lisa T Bargender | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913 | 2016-07-28 |
| 1730546961 | Allie Isaacson | Registered Nurse | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-01-19 |
| 1104248160 | Christine Preston | Social Worker | S2845 White Eagle Rd, Baraboo, WI 53913 | 2014-01-10 |
| 1033531108 | Joseph White Eagle Sr. | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2014-01-09 |
| 1982943171 | Hussain Harun | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
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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.