<Unavail>

LBN: Ho Chunk Nation
<Unavail> is an health care organization with primary practice located at N6520 Lumberjack Guy Rd , Black River Falls WI 54615-5405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Ho Chunk Nation can be contacted via phone (715) 284-9851, or through Lund, Liz M via phone (715) 284-9851.

Contact Information

Primary practice address
N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405
Phone: (715) 284-9851
Fax: (715) 284-5051
Website:
Map and Directions
Authorized official contact:
Name: Lund, Liz M
Phone: (715) 284-9851

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1922263656
LBN Legal business name Ho Chunk Nation
DBA Doing business as <Unavail>
Authorized official Lund, Liz M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Mar 23rd, 2018 - about 8 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 1922263656 NPPES
Wisconsin Other 52D2018007 CLIA
Wisconsin MEDICAID 44015100 CLIA

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