Forest County Potawatomi Health & Wellness Center

LBN: Forest County Potawatomi Health & Wellness Center
Forest County Potawatomi Health & Wellness Center is an health care organization with primary practice located at 8201 Mish Ko Swen Dr , Crandon WI 54520-8631. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Forest County Potawatomi Health & Wellness Center can be contacted via phone (715) 478-4300, or through Daniels, Ned via phone (715) 478-4824.

Contact Information

Primary practice address
8201 Mish Ko Swen Dr Crandon WI 54520-8631
Phone: (715) 478-4300
Fax: (715) 478-4490
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Ned
Phone: (715) 478-4824

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1376650499
LBN Legal business name Forest County Potawatomi Health & Wellness Center
DBA Doing business as
Authorized official Daniels, Ned
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Dec 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376650499 NPPES
Wisconsin MEDICAID 42182600

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