| NPI | 1285741306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED DANIELS Tribal Chairman 715-478-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133N00000X Nutritionist | |
| 208000000X Pediatrics | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD0000X Clinic/Center Dental | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QP1100X Clinic/Center Podiatric | |
| 261QR0200X Clinic/Center Radiology | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| 291U00000X Clinical Medical Laboratory | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332H00000X Eyewear Supplier | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-12-09 |