HO-CHUNK HEALTH CARE CENTER (NPI# 1639553100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639553100 |
| Entity Type | Organization |
| Organization Name | HO-CHUNK HEALTH CARE CENTER |
| Practice Address |
N6520 Lumberjack Guy Rd Black River Falls WI 54615 |
| Practice Telephone | 7152849851 |
| Practice Fax Number | 7152843434 |
| Mailing Telephone | 7152849851 |
| Mailing Fax Number | 7152843434 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | RACHAEL DOZER (BEHAVIORAL HEALTH CLINICIAN 1) |
| Authorized Official Telephone | 7152996949 |
| Authorized Official Credential | APSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 1407911795 | WI | Managed Care Organizations |
| Street Address |
N6520 LUMBERJACK GUY RD |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871519579 | Charles Lau | Dentist | N6520 Lumberjack Guy Rd, Dept of Health, Black River Falls, WI 54615-5405 | 2006-07-14 |
| 1538794284 | Jennifer Lynn Hastings | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2020-03-03 |
| 1578101762 | Brianna Wing | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-12-18 |
| 1922565803 | Hussein Cheikhali | Pharmacist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-27 |
| 1710442892 | Valerie Miranda Carrimon | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-04 |
| 1437636735 | Michelle Lee Schoolcraft | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 | 2018-07-19 |
| 1689114712 | Trisha A Jacox | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-03-08 |
| 1437698966 | Serena Jahnke-berg | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-02-16 |
| 1205371846 | Fawnah W Bish | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-01-05 |
| 1356704787 | Rachel Marie Lundberg | Optometrist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2016-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1255958781 | Family Connections Resource Center LLC | Preferred Provider Organization | 6830 W Villard Ave Ste 301, Milwaukee, WI 53218-3968 | 2020-06-30 |
| 1215572409 | Carla L Davis | Preferred Provider Organization | 3709 N. 41st Street, Milwaukee, WI 53216-3044 | 2019-11-12 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1649668179 | Guiding Hearts Home Health Care | Preferred Provider Organization | 2867 N 45th St, Milwaukee, WI 53210-1714 | 2015-01-07 |
| 1972919314 | Psychological & Hr Consulting LLC | Preferred Provider Organization | 4317 N Stowell Ave, Shorewood, WI 53211-1748 | 2014-07-07 |
| 1598195281 | Rexnord Health and Wellness Center | Preferred Provider Organization | 1301 W Canal St, Suite 200, Milwaukee, WI 53233-2667 | 2013-11-18 |
| 1508296237 | Wps Health and Wellness Center | Preferred Provider Organization | 1707 W Broadway, Monona, WI 53713-1834 | 2013-11-15 |
| 1679907828 | Life Touches Home Healthcare, LLC | Preferred Provider Organization | 4234 N 76th St, Suite A, Milwaukee, WI 53222-2002 | 2013-08-23 |
| 1164763926 | Jannah Home Healthcare | Preferred Provider Organization | 2133 W North Ave, Milwaukee, WI 53205-1133 | 2013-03-04 |
| 1003151366 | The Wellness Way Appleton | Preferred Provider Organization | W3169 Van Roy Rd, Ste #11, Appleton, WI 54915-3985 | 2012-11-27 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
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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.