SOKAOGON CHIPPEWA COMMUNITY (NPI# 1851902399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851902399 |
| Entity Type | Organization |
| Organization Name | SOKAOGON CHIPPEWA COMMUNITY |
| Practice Address |
3144 Vanzile Rd Crandon WI 54520-8149 |
| Practice Telephone | 7154785180 |
| Practice Fax Number | 7154785904 |
| Mailing Telephone | 7154785180 |
| Mailing Fax Number | 7154785904 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | LISA NIEFT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7154876402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Sokaogon Chippewa Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115456 | Sokaogon Chippewa Community | Clinic/Center | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2005-06-21 |
| Street Address |
3144 VANZILE RD |
| City | CRANDON |
| State | WI |
| Zip Code | 54520-8149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115456 | Sokaogon Chippewa Community | Clinic/Center | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2005-06-21 |
| 1730749532 | Sokaogon Chippewa Health Clinic | Family Medicine | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2019-06-14 |
| 1689169492 | Jamie Dean Bauknecht | Licensed Practical Nurse | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2018-06-25 |
| 1891171807 | Roya Rahnamayi | Dentist | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2015-08-03 |
| 1770978173 | Lana Winter | Counselor | 3144 Vanzile Rd, Crandon, WI 54520 | 2015-04-02 |
| 1194982116 | Sokaogon Chippewa Health Clinic | Legal Medicine | 3144 Vanzile Rd, Crandon, WI 54520-8149 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255574364 | Anne Morris Warren | Counselor | 5409 Everybody's Rd, Crandon, WI 54520 | 2009-04-20 |
| 1568643922 | Karen Mihalko | Hearing Instrument Specialist | 106 W Madison Street, Crandon, WI 54520 | 2007-11-14 |
| 1558379438 | David R Kaufman Jr. | Pharmacist | 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1114935095 | William R Pierre | Optometrist | 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1285642165 | Christopher P Skaggs | Speech-Language Pathologist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1720033186 | Frank Mraz | Family Medicine | 5409 Everybody's Road, Crandon, WI 54520 | 2006-05-24 |
| 1902221989 | Anna E Lopez | Massage Therapist | 8201 Mish Ko Swen Drive, Crandon, WI 54520 | 2014-02-27 |
| 1992959654 | Lisa M Miller | Dietitian, Registered | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2008-11-07 |
| 1902814882 | Kirk R Ritchie | Dentist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1881602761 | Betty S Thunder | Social Worker | 5409 Everybody's Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| Find all providers in zip 54520 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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] |
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|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1487213237 | Aurora Pharmacy Inc | Pharmacy | 9000 W Sura Ln Ste 100, Greenfield, WI 53228-3477 | 2019-06-06 |
| 1295208114 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave Ste 100, Port Washington, WI 53074-2074 | 2019-01-03 |
| 1144705880 | Aurora Pharmacy Inc. | Pharmacy | 135 Jackson St Ste 100, Oshkosh, WI 54901-4713 | 2018-09-28 |
| 1336634229 | Aurora Pharmacy Inc. | Pharmacy | 3003 University Dr Ste 1, Marinette, WI 54143-4110 | 2018-06-25 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1629592688 | Aurora Pharmacy Inc | Pharmacy | 200 E Ryan Rd Ste 101, Oak Creek, WI 53154-4563 | 2017-08-01 |
| 1003362179 | Aurora Pharmacy Inc | Pharmacy | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | 2016-08-29 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1952630857 | Marshfield Clinic, Inc. | Pharmacy | 1000 N Oak Ave Ste 300, Marshfield, WI 54449 | 2009-12-24 |
| 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.