Organization · Type 2 NPI
Stockbridge Munsee Community
Federally Qualified Health Center (FQHC) · Bowler, WI
NPI number
1629070180
Active
Practice location
W12802 Cty Rd A
Bowler, WI 54416
Fax (715) 793-5028
Mailing address
P.o. Box 70, W12802 Cty Rd A
Bowler, WI 54416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1629070180
Stockbridge Munsee Community's National Provider Identifier is 1629070180, issued on Aug 15, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bowler, WI. The record was last updated on Mar 25, 2025.