institution
Sokaogon Chippewa Community
Federally Qualified Health Center (FQHC) in Crandon, Wisconsin
NPI 1033115456

Sokaogon Chippewa Community is a Federally Qualified Health Center (FQHC) based in Crandon, WI and is specialized in Federally Qualified Health Center (FQHC). Sokaogon Chippewa Community practices in Crandon, WI. The NPI Number for Sokaogon Chippewa Community is 1033115456 and holds a License No. 32957000 (Wisconsin).

The current practice location address for Sokaogon Chippewa Community is 3144 Vanzile Rd, Crandon, WI and can be reached out via phone at 715-478-5180 and via fax at 715-478-5904.

Location: 3144 Vanzile Rd, Crandon, WI, 54520-8149
institution
Provider Profile Details
NPI Number
1033115456
Provider Name
Sokaogon Chippewa Community
Credential
Provider Entity Type
Organization
Address
3144 Vanzile Rd, Crandon, WI, 54520-8149
Phone Number
715-478-5180
Fax Number
715-478-5904
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32957000 05 WI
institution
Provider Business Practice Location Address Details
Address
3144 Vanzile Rd
City
State
Zip
54520-8149
Phone Number
715-478-5180
Fax Number
715-478-5904
person
Provider Business Mailing Address Details
Address
3144 Vanzile Rd
City
State
Zip
54520-8149
Phone Number
715-478-5180
Fax Number
715-478-5904
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
32957000 (Wisconsin)
Definition
Definition to come...
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