Lac Du Flambeau Band of Lake Superior Chippewa Indians
Lac Du Flambeau Band of Lake Superior Chippewa Indians is a Federally Qualified Health Center (FQHC) in Lac Du Flambeau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.
- Licensed in
- WI
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
3378 N Schilleman RdLac Du Flambeau, WI 54538-0815
Phone: (715) 388-0762
Fax: (715) 588-1889
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Federally Qualified Health Center (FQHC) | Taxonomy 261QF0400X (WI) |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X · Licence 3100 (WI) |
Record details
| NPI number | 1669970729 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Ahlborn — Compliance & Contract Coordinator · (715) 588-4422 |
| Other names | Gookomis Endaad; Gookomis Endaad |
| NPI enumerated | January 24, 2018 |
| Last updated in NPPES | September 13, 2018 |
| Mailing address | Po Box 815, Lac Du Flambeau, WI 54538-0815 |