Organization · Type 2 NPI
Sokaogon Chippewa Community
Federally Qualified Health Center (FQHC) · Crandon, WI
NPI number
1033115456
Active
Practice location
3144 Vanzile Rd
Crandon, WI 54520-8149
Fax (715) 478-5904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 32957000 (WI) |
Federally Qualified Health Center (FQHC): Definition to come...
14 other providers at this address
- Sokaogon Chippewa CommunityClinic Pharmacy Crandon, WI NPI 1851902399
- Abigail B. Ashbeck, LCSWClinical Social Worker Crandon, WI NPI 1437827441
- Courtney Schwefel, RNRegistered Nurse Crandon, WI NPI 1811713001
- David R. Kaufman Jr., RPHPharmacist Crandon, WI NPI 1558379438
- Gary M. Pusateri, MDGeneral Practice Physician Crandon, WI NPI 1851383525
- Jamie Dean Bauknecht, LPNLicensed Practical Nurse Crandon, WI NPI 1689169492
- Jolene A. Derfus, SAC-ITAddiction (Substance Use Disorder) Counselor Crandon, WI NPI 1598336620
- Kristen Radloff, FNP, APNPFamily Nurse Practitioner Crandon, WI NPI 1003261215
- Lana Winter, SACAddiction (Substance Use Disorder) Counselor Crandon, WI NPI 1770978173
- Melinda M. Roth, PMHNPPsychiatric/Mental Health Nurse Practitioner Crandon, WI NPI 1154757045
- Richard Arthur Brandner, MDFamily Medicine Physician Crandon, WI NPI 1598954398
- Stephanie Marie Coons, DSWClinical Social Worker Crandon, WI NPI 1467733576
Other federally qualified health center (fqhc) providers in Crandon
About NPI 1033115456
Sokaogon Chippewa Community's National Provider Identifier is 1033115456, issued on Jun 21, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Crandon, WI. The record was last updated on Mar 25, 2025.