Forest County Potawatomi Community is a Hearing Aid Equipment based in Crandon, WI. Forest County Potawatomi Community practices in Crandon, WI. The NPI Number for Forest County Potawatomi Community is 1285741306 and holds a License No. (Wisconsin).
The current practice location address for Forest County Potawatomi Community is 8201 Mish Ko Swen Drive, Crandon, WI and can be reached out via phone at 715-478-4300 and via fax at 715-478-4300.
Location: 8201 Mish Ko Swen Drive, Crandon, WI, 54520-0396
Provider Profile Details
NPI Number
1285741306
Provider Name
Forest County Potawatomi Community
Credential
Provider Entity Type
Organization
Address
8201 Mish Ko Swen Drive, Crandon, WI, 54520-0396
Phone Number
715-478-4300
Fax Number
715-478-4300
Provider Enumeration Date
08/24/2006
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391235059016 | 01 | WI | BLUE CROSS BLUE SHIELD |
| 41752300 | 01 | WI | DURABLE MEDICAL EQUIPMENT |
| 42182600 | 01 | WI | AODA CLINIC |
| 32956600 | 05 | WI | |
| 42182600 | 01 | WI | MENTAL HEALTH |
| DA0385 | 01 | WI | RAILROAD MEDICARE |
| 42182600 | 05 | WI | |
| 44006100 | 01 | WI | PRENATAL CARE |
| 44006100 | 05 | WI | |
| 41752300 | 05 | WI |
Provider Business Practice Location Address Details
Address
8201 Mish Ko Swen Drive
City
State
Zip
54520-8631
Phone Number
715-478-4300
Fax Number
715-478-4300
Provider Business Mailing Address Details
Address
8201 Mish Ko Swen Drive
City
State
Zip
54520-8631
Phone Number
715-478-4300
Fax Number
715-478-4300
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietary Manager
Speciality
-
Taxonomy
License No.
()
Definition
A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
-
Taxonomy
License No.
()
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Hearing and Speech
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 9
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 10
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
License No.
(Wisconsin)
Definition
Definition to come...
Provider's Taxonomy Details 11
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Provider's Taxonomy Details 12
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Provider's Taxonomy Details 13
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 14
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Provider's Taxonomy Details 15
Type
Suppliers
Classification
Hearing Aid Equipment
Speciality
-
Taxonomy
License No.
()
Definition
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
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