Organization · Type 2 NPI
Lac Du Flambeau Band of Lake Superior Chippewa Indians
Federally Qualified Health Center (FQHC) · Lac Du Flambeau, WI
NPI number
1306016563
Active
Practice location
533 Peace Pipe Road
Lac Du Flambeau, WI 54538-0189
Fax (715) 588-3903
Mailing address
533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
8 other providers at this address
- Debra L. Neddo, CADCIIIAddiction (Substance Use Disorder) Counselor Lac Du Flambeau, WI NPI 1275661662
- Kelly J. Burg, LCSW, SACMental Health Counselor Lac Du Flambeau, WI NPI 1639421373
- Kevin A. Knudson, CADCIIIAddiction (Substance Use Disorder) Counselor Lac Du Flambeau, WI NPI 1578691960
- Patricia A. Ustianowski, CADCIIIAddiction (Substance Use Disorder) Counselor Lac Du Flambeau, WI NPI 1497883888
- Patrick Day, RADC1Addiction (Substance Use Disorder) Counselor Lac Du Flambeau, WI NPI 1487782868
- Regina Rae Fox, LPC, CSACProfessional Counselor Lac Du Flambeau, WI NPI 1013420322
- Robert R. Polfus, MAMental Health Counselor Lac Du Flambeau, WI NPI 1649308040
- Suanne Vannatter, MHNP-BCPsychiatric/Mental Health Nurse Practitioner Lac Du Flambeau, WI NPI 1558792499
Other federally qualified health center (fqhc) providers in Lac Du Flambeau
About NPI 1306016563
Lac Du Flambeau Band of Lake Superior Chippewa Indians's National Provider Identifier is 1306016563, issued on Mar 4, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lac Du Flambeau, WI. The record was last updated on Apr 22, 2026.