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Lac Courte Oreilles Governing Board
Clinic/Center in Hayward, Wisconsin
NPI 1194830208

Lac Courte Oreilles Governing Board is a Clinic/Center based in Hayward, WI. Lac Courte Oreilles Governing Board practices in Hayward, WI. The NPI Number for Lac Courte Oreilles Governing Board is 1194830208 and holds a License No. (Wisconsin).

The current practice location address for Lac Courte Oreilles Governing Board is 13380 W Trepania Rd, Hayward, WI and can be reached out via phone at 715-638-5100 and via fax at 715-634-6107.

Location: 13380 W Trepania Rd, Hayward, WI, 54843-2186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194830208
Provider Name
Lac Courte Oreilles Governing Board
Credential
Provider Entity Type
Organization
Address
13380 W Trepania Rd, Hayward, WI, 54843-2186
Phone Number
715-638-5100
Fax Number
715-634-6107
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32956000 05 WI
institution
Provider Business Practice Location Address Details
Address
13380 W Trepania Rd
City
Hayward
State
Wisconsin
Zip
54843-2186
Phone Number
715-638-5100
Fax Number
715-634-6107
person
Provider Business Mailing Address Details
Address
13380 W Trepania Rd
City
Hayward
State
Wisconsin
Zip
54843-2186
Phone Number
715-638-5100
Fax Number
715-634-6107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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