Organization · Type 2 NPI

St. Croix Tribal Council

Federally Qualified Health Center (FQHC) · Webster, WI

NPI number 1831170091 Active

Practice location

4404 State Road 70
Webster, WI 54893-9251

Fax (715) 349-8529

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

48 other providers at this address

NPI record

NPI: 1831170091
Entity type: Organization (Type 2)
Issued: Nov 7, 2005
Last updated: Oct 15, 2024
Status: Active

Other names

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St. Croix Chippewa Indians of Wisconsin · other name
St. Croix Tribal Health Clinic · other name

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 1831170091

St. Croix Tribal Council's National Provider Identifier is 1831170091, issued on Nov 7, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Webster, WI. The record was last updated on Oct 15, 2024.