Organization · Type 2 NPI

St. Croix Chippewa Indians of Wi

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Webster, WI

NPI number 1487875787 Active

Practice location

4404 State Rd 70
Webster, WI 54893

Fax (715) 349-8529

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	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.

NPI record

NPI: 1487875787
Entity type: Organization (Type 2)
Issued: May 2, 2007
Last updated: Oct 15, 2024
Status: Active
Subpart: Yes of St. Croix Tribal Council

Other names

<unavail>
St. Croix Tribal Clinic · doing business as
St. Croix Tribal Pharmacy · doing business as
St. Croix Tribal Pharmacy · doing business as

Authorized official

Amber Heinz
Health Director
(715) 349-8554

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487875787

St. Croix Chippewa Indians of Wi's National Provider Identifier is 1487875787, issued on May 2, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Webster, WI. The record was last updated on Oct 15, 2024.