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Ho Chunk Nation
Mental Health Clinic/Center (Including Community Mental Health Center) in Black River Falls, Wisconsin
NPI 1790095800

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 1790095800 and holds a License No. 101YA0400X (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 715-284-3434.

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
1790095800
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
715-284-3434
Provider Enumeration Date
10/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1413 01 WI STATE CERTIFICATION
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
715-284-3434
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
715-284-3434
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
1413 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
101YA0400X (Wisconsin)
Definition
Definition to come...
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