Organization · Type 2 NPI
Forest County Potawatomi Community
Federally Qualified Health Center (FQHC) · Crandon, WI
NPI number
1285741306
Active
Practice location
8201 Mish Ko Swen Drive
Crandon, WI 54520-8631
Fax (715) 478-4300
Mailing address
PO Box 396
Crandon, WI 54520-0396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietary Manager | 132700000X | None listed |
| Nutritionist | 133N00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Community Health Clinic/Center | 261QC1500X | None listed |
| Dental Clinic/Center | 261QD0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Hearing and Speech Clinic/Center | 261QH0700X | None listed |
| Podiatric Clinic/Center | 261QP1100X | None listed |
| Radiology Clinic/Center | 261QR0200X | None listed |
| Mammography Clinic/Center | 261QR0206X | None listed |
| Clinical Medical Laboratory | 291U00000X | None listed |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Eyewear Supplier | 332H00000X | None listed |
| Hearing Aid Equipment | 332S00000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Crandon
About NPI 1285741306
Forest County Potawatomi Community's National Provider Identifier is 1285741306, issued on Aug 24, 2006. 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 Dec 9, 2020.