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Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
Federally Qualified Health Center (FQHC) in Ashland, Wisconsin
NPI 1699701375

Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis is a Federally Qualified Health Center (FQHC) based in Ashland, WI and is specialized in Federally Qualified Health Center (FQHC). Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis practices in Ashland, WI. The NPI Number for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis is 1699701375 and holds a License No. (Wisconsin).

The current practice location address for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis is 53585 Nokomis Road, Ashland, WI and can be reached out via phone at 715-682-7133 and via fax at 715-685-7857.

Location: 53585 Nokomis Road, Ashland, WI, 54806-4272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699701375
Provider Name
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
Credential
Provider Entity Type
Organization
Address
53585 Nokomis Road, Ashland, WI, 54806-4272
Phone Number
715-682-7133
Fax Number
715-685-7857
Provider Enumeration Date
06/24/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TRZ020 01 WI TRAILBLAZER/MEDICARE
32957600 05 WI
institution
Provider Business Practice Location Address Details
Address
53585 Nokomis Road
City
Ashland
State
Wisconsin
Zip
54806-4272
Phone Number
715-682-7133
Fax Number
715-685-7857
person
Provider Business Mailing Address Details
Address
53585 Nokomis Road
City
Ashland
State
Wisconsin
Zip
54806-4272
Phone Number
715-682-7133
Fax Number
715-685-7857
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
(Wisconsin)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
(Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
(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 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Wisconsin)
Definition
Definition to come...
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