Lac Du Flambeau Band of Lake Superior Chippewa Indians
Lac Du Flambeau Band of Lake Superior Chippewa Indians is a Case Management Agency in Lac Du Flambeau, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
129 Old Abe RdLac Du Flambeau, WI 54538-9386
Phone: (715) 588-3371
Fax: (715) 588-2031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1134235047 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lac Du Flambeau Band of Lake Superior Chippewa Indians |
| Authorized official | Randy Samuelson — Administrator · (715) 588-3371 |
| Other names | Peter Christensen Health Center |
| NPI enumerated | August 22, 2006 |
| Last updated in NPPES | September 3, 2013 |
| Mailing address | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 |
Other providers in Lac Du Flambeau
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Lac Du Flambeau Band of Lake Superior Chippewa Indians
533 Peace Pipe Rd, Lac Du Flambeau, WI 54538-0189 · (715) 588-1511