Red Cliff Band of Lake Superior Chippewa Indians

NPI #1497744015 in Bayfield, Wisconsin

Provider Information

NPI Number
1497744015
Entity Type
Organization
Organization Name
Red Cliff Band of Lake Superior Chippewa Indians
Subpart
Yes (part of a larger organization)
Parent Organization
RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 17, 2005
Last Updated
Feb 24, 2023

Practice Location

Address
36745 AIKEN RD
ZIP Code
54814-4579
Phone
(715) 779-3707

Authorized Official

Name
MS. DIANE ERICKSON
Title
HEALTH SERVICES ADMINISTRATOR
Phone
(715) 779-3707

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Social Worker - ClinicalClinical
Registered Nurse
Pharmacist
Clinic/Center - DentalDental
Clinic/Center - Primary CarePrimary Care
Durable Medical Equipment & Medical Supplies
Ambulance
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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