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BAD RIVER HEALTH CLINIC
NPI 1013093285
Clinic/Center in Odanah, WI

Active since October 31, 2006CLIA 52D0695521 · Accreditation
1 MAPLE STREET, ODANAH, WI 54861(715) 682-7133 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bad River Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAD RIVER HEALTH CLINIC (NPI 1013093285) is a healthcare organization registered as a clinic/center in Odanah, Wisconsin and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through June 12, 2028 and lists Mary Bigboy, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1013093285
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBAD RIVER HEALTH CLINIC
Location Address1 MAPLE STREETOdanah, WI 54861
Mailing AddressN87w16462 Jacobson DrMenomonee Falls, WI 53051-2833 · (262) 255-1040 · Fax (262) 255-4090
Phone(715) 682-7133
Organization SubpartNo
Authorized OfficialMary BigboyClinic Manager · (715) 682-7133
Enumeration DateOctober 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013093285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
1 MAPLE STREET, Odanah, WI 54861
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0695521

Bad River Health Clinic · Ashland, WI
Active · expires Jun 12, 2028
CLIA Number52D0695521
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorMrs. Susan L. Hackworthy
Laboratory Phone(715) 682-7133
Laboratory LocationBad River Health Clinic53585 Nokomis Rd, Ashland, WI 54806
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bad River Health Clinic's NPI number?

The NPI number for Bad River Health Clinic is 1013093285. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Bad River Health Clinic located?

Bad River Health Clinic is located at 1 Maple Street, Odanah, WI 54861. The listed phone number is (715) 682-7133.

What is Bad River Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Bad River Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0695521) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bad River Health Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.