Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.

NPI #1780702829 in Ashland, Wisconsin

Provider Information

NPI Number
1780702829
Entity Type
Organization
Organization Name
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.
Subpart
Yes (part of a larger organization)
Parent Organization
BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS WIS.
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Mar 27, 2007
Last Updated
Jun 3, 2024

Practice Location

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

Authorized Official

Name
JUNE LOUISE WILLIAMS
Title
BILLING/PRC MANAGER
Phone
(715) 682-7133

Specialties & Taxonomy Codes

Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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