Organization · Type 2 NPI
Red Cliff Band of :ake Superior
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Bayfield, WI
Practice location
36745 Aiken Rd
Bayfield, WI 54814-4579
Fax (715) 779-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None listed |
| Pharmacy | 333600000X | None listed |
| Clinic Pharmacy | 3336C0002X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
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.
9 other providers at this address
- Red Cliff Band of Lake Superior Chippewa IndiansFederally Qualified Health Center (FQHC) Bayfield, WI NPI 1497744015
- Allyssa A. Gordon, LPCITProfessional Counselor Bayfield, WI NPI 1346149994
- Ann Elizabeth Reitz, MDFamily Medicine Physician Bayfield, WI NPI 1538197108
- Craig O. Shanks, LPCMental Health Counselor Bayfield, WI NPI 1659743136
- James E. Peacock, CSAC, ICSAddiction (Substance Use Disorder) Counselor Bayfield, WI NPI 1588119887
- Jennifer Kupczyk, PharmDPharmacist Bayfield, WI NPI 1831576214
- Mark Avery Fuller, MDInternal Medicine Physician Bayfield, WI NPI 1124055561
- Nicole Renee GurnoeMental Health Counselor Bayfield, WI NPI 1063899516
- Tamara L. Kolesar, LPC-IT, SAC-ITMental Health Counselor Bayfield, WI NPI 1255996526
About NPI 1275606808
Red Cliff Band of :ake Superior's National Provider Identifier is 1275606808, issued on Nov 15, 2006. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Bayfield, WI. The record was last updated on Jul 19, 2018.