Lac Du Flambeau Band of Lake Superior Chippewa Indians
NPI #1306016563 in Lac Du Flambeau, Wisconsin
Provider Information
- NPI Number
- 1306016563
- Entity Type
- Organization
- Organization Name
- Lac Du Flambeau Band of Lake Superior Chippewa Indians
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 4, 2008
- Last Updated
- Jun 15, 2022
Practice Location
- Address
- 533 PEACE PIPE ROAD
- City
- Lac Du Flambeau
- State
- Wisconsin
- ZIP Code
- 54538-0189
- Phone
- (715) 588-1511
Authorized Official
- Name
- CHARMAINE A HOPKINS
- Title
- FRC EXEC. ADMIN ASST.
- Phone
- (715) 588-1511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Community/Behavioral Health |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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