Bad River Health and Wellness Center

NPI #1255682183 in Ashland, Wisconsin

Provider Information

NPI Number
1255682183
Entity Type
Organization
Organization Name
Bad River Health and Wellness Center
Subpart
Yes (part of a larger organization)
Parent Organization
BAD RIVER BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 2, 2012
Last Updated
Oct 2, 2012

Practice Location

Address
53585 NOKOMIS RD
ZIP Code
54806-4272
Phone
(715) 682-7133

Authorized Official

Name
MRS. DEBRA ANN TUTOR
Title
CLINIC ADMINISTRATOR
Phone
(715) 682-7133

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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