HO CHUNK NATION NPI 1154630390

NPI Information

NPI: 1154630390
Provider Name: HO CHUNK NATION

Doing Business As: HO-CHUNK BEHAVIORAL HEALTH CARE - NEKOOSA

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
916 CHAK-HAH-CHEE LANE
NEKOOSA, WI
ZIP 54457
Phone: (715) 886-5444
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HO CHUNK NATION is a mental health (including community mental health center) clinic center in Nekoosa, WI. HO CHUNK NATION NPI is 1154630390. The provider is registered as an organization entity type.
The provider Is Doing Business As Ho-chunk Behavioral Health Care - Nekoosa.

The provider's business location address is:

916 CHAK-HAH-CHEE LANE
NEKOOSA, WI
ZIP 54457
Phone: (715) 886-5444
Fax: (715) 886-4330

The provider's authorized official is Liz M Lund .
The authorized official title is Provider Network Manager and has the following contact phone number (715) 284-9851.

The CLIA number assigned to this NPI record is 52D0702721 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/6/2010 and was last updated on 3/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1413	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1413	OTHER	WISCONSIN	STATE CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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