HO-CHUNK NATION (NPI# 1487812897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487812897 |
| Entity Type | Organization |
| Organization Name | HO-CHUNK NATION |
| Other Organization Name | HOUSE OF WELLNESS CENTER PHARMACY |
| Practice Address |
S2845 White Eagle Rd Baraboo WI 53913-9064 |
| Practice Telephone | 6083555177 |
| Practice Fax Number | 6083561233 |
| Mailing Telephone | 6083551240 |
| Mailing Fax Number | 6083561233 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | ABIGAIL MOORE (MANAGING PHARMACIST) |
| Authorized Official Telephone | 6083551240 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8332-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100052111 | 05 | |
| PK | 2111110 | 01 |
| Other Name | Type Code |
|---|---|
| HOUSE OF WELLNESS CENTER PHARMACY | Doing Business As Name - Organization |
| House of Wellness Retail Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386802718 | Ho-chunk Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2008-06-02 |
| 1699988295 | Ho-chunk Nation | Pharmacy | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2007-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HO-CHUNK NATION | W9814 Airport Rd, Black River Falls, WI 54615-5406 |
| System for Award Management (SAM) Entities | HO-CHUNK NATION TRANSPORTATION AUTHORITY INC. | 28902 State Highway 21, Tomah, WI 54660-7524 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
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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.