St. Croix Chippewa Indians of Wi

NPI #1487875787 in Webster, Wisconsin

Provider Information

NPI Number: 1487875787
Entity Type: Organization
Organization Name: St. Croix Chippewa Indians of Wi
Subpart: Yes (part of a larger organization)
Parent Organization: ST. CROIX TRIBAL COUNCIL
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: May 2, 2007
Last Updated: Oct 15, 2024

Practice Location

Address: 4404 STATE RD 70
City: Webster
State: Wisconsin
ZIP Code: 54893
Phone: (715) 349-8554

Authorized Official

Name: AMBER HEINZ
Title: HEALTH DIRECTOR
Phone: (715) 349-8554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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