HO CHUNK NATION (NPI# 1316002694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316002694 |
| Entity Type | Organization |
| Organization Name | HO CHUNK NATION |
| Practice Address |
S2845 White Eagle Rd Baraboo WI 53913-9064 |
| Practice Telephone | 6083551240 |
| Practice Fax Number | 6083567122 |
| Mailing Telephone | 6083551240 |
| Mailing Fax Number | 6083567122 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | MS. LIZ M LUND (PROVIDER NETWORK MANAGER) |
| Authorized Official Telephone | 7152849851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1413 | WI | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32957200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154630390 | Ho Chunk Nation | Clinic/Center | 916 Chak-hah-chee Lane, Nekoosa, WI 54457 | 2010-10-06 |
| 1790095800 | Ho Chunk Nation | Clinic/Center | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2010-10-08 |
| 1427367663 | Ho Chunk Nation | Clinic/Center | 27374 State Highway 21, Tomah, WI 54660-4501 | 2010-10-06 |
| 1659680718 | Ho Chunk Nation | Clinic/Center | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2010-10-06 |
| 1568771624 | Ho Chunk Nation | Clinic/Center | N7240 Us Highway 45, Wittenberg, WI 54499-8567 | 2010-10-06 |
| 1518276294 | Ho Chunk Nation | Clinic/Center | 724 Main St, La Crosse, WI 54601-4121 | 2010-09-29 |
| 1922263656 | Ho Chunk Nation | Clinic/Center | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2008-07-22 |
| 1972725240 | Ho Chunk Nation | Pharmacy | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2007-05-03 |
| 1407911795 | Ho Chunk Nation | Clinic/Center | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2006-12-27 |
| Street Address |
S2845 WHITE EAGLE RD |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-9064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508898818 | Chandra S Reddy | Internal Medicine | S2845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2006-07-07 |
| 1720610454 | Brittany Marie Hayes | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2020-02-11 |
| 1417414574 | Rosalee Anne Bertram | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2019-02-25 |
| 1407378193 | Abigail Moore | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2017-07-13 |
| 1265977425 | Kyla Ripp | Dietitian, Registered | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-12-27 |
| 1134672975 | Lisa T Bargender | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913 | 2016-07-28 |
| 1730546961 | Allie Isaacson | Registered Nurse | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-01-19 |
| 1104248160 | Christine Preston | Social Worker | S2845 White Eagle Rd, Baraboo, WI 53913 | 2014-01-10 |
| 1033531108 | Joseph White Eagle Sr. | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2014-01-09 |
| 1982943171 | Hussain Harun | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.