Organization · Type 2 NPI

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

Federally Qualified Health Center (FQHC) · Ashland, WI

NPI number 1699701375 Active

Practice location

53585 Nokomis Road
Ashland, WI 54806-4272

Fax (715) 685-7857

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Public Health or Welfare Agency	251K00000X	None listed
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Ashland, WI NPI 1780702829
Ila Anderson, RPHPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Ashland, WI NPI 1063781888
Kristan A. Wegerson, MDFamily Medicine Physician Ashland, WI NPI 1457301152
Pamela Jo Feustel, RNRegistered Nurse Ashland, WI NPI 1598055816

Other federally qualified health center (fqhc) providers in Ashland

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NPI record

NPI: 1699701375
Entity type: Organization (Type 2)
Issued: Jun 24, 2006
Last updated: Apr 6, 2016
Status: Active
Subpart: Yes of Bad River Band of Lake Superior Tribe of Chippewa Indians

Other names

<unavail>
Bad River Health and Wellness Center · former legal business name

Authorized official

Mrs. Debra Ann Tutor
Clinic Administrator
(715) 682-7133

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 1699701375

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis's National Provider Identifier is 1699701375, issued on Jun 24, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Ashland, WI. The record was last updated on Apr 6, 2016.