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Ho Chunk Nation
Mental Health Clinic/Center (Including Community Mental Health Center) in Black River Falls, Wisconsin
NPI 1407911795

Ho Chunk Nation is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Black River Falls, WI and is specialized in Mental Health (Including Community Mental Health Center). Ho Chunk Nation practices in Black River Falls, WI. The NPI Number for Ho Chunk Nation is 1407911795 and holds a License No. (Wisconsin).

The current practice location address for Ho Chunk Nation is N6520 Lumberjack Guy Rd, Black River Falls, WI and can be reached out via phone at 715-284-9851 and via fax at 715-284-5150.

Location: N6520 Lumberjack Guy Rd, Black River Falls, WI, 54615-5405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407911795
Provider Name
Ho Chunk Nation
Credential
Provider Entity Type
Organization
Address
N6520 Lumberjack Guy Rd, Black River Falls, WI, 54615-5405
Phone Number
715-284-9851
Fax Number
715-284-5150
Provider Enumeration Date
12/27/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32955400 05 WI
institution
Provider Business Practice Location Address Details
Address
N6520 Lumberjack Guy Rd
City
Black River Falls
State
Wisconsin
Zip
54615-5405
Phone Number
715-284-9851
Fax Number
715-284-5150
person
Provider Business Mailing Address Details
Address
N6520 Lumberjack Guy Rd
City
Black River Falls
State
Wisconsin
Zip
54615-5405
Phone Number
715-284-9851
Fax Number
715-284-5150
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1413 (Wisconsin)
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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