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SOKAOGON CHIPPEWA COMMUNITY
NPI 1033115456
Clinic/Center - Federally Qualified Health Center (FQHC) in Crandon, WI

Active since June 21, 2005
3144 VANZILE RD, CRANDON, WI 54520(715) 478-5180(715) 478-5904 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Sep 1, 2022, Mar 22, 2019 and 1 more (4 updates tracked since 2016).

About Sokaogon Chippewa Community NPPES

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

SOKAOGON CHIPPEWA COMMUNITY (NPI 1033115456) is a healthcare organization registered as a federally qualified health center (fqhc) in Crandon, Wisconsin and active in the NPI registry since June 2005. The organization lists Chris Mcgeshick, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1033115456
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOKAOGON CHIPPEWA COMMUNITY
Location Address3144 VANZILE RDCrandon, WI 54520-8149
Mailing Address3144 Vanzile RdCrandon, WI 54520-8149 · (715) 478-5180 · Fax (715) 478-5904
Phone(715) 478-5180
Fax(715) 478-5904
Organization SubpartNo
Authorized OfficialChris McgeshickClinic Director · (715) 478-5180
Enumeration DateJune 21, 2005
Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1033115456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in WI · 32957000
3144 VANZILE RD, Crandon, WI 54520
Open in Google Maps ↗

Other Identifiers 1

Medicaid32957000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN RADLOFF FNP, APNP
Nurse Practitioner (Family)
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180
MRS. SUZETTE LINDA KATCHKO APNP
Nurse Practitioner
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180
MELINDA M ROTH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180
ABIGAIL B ASHBECK LCSW
Social Worker (Clinical)
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180
DR. STEPHANIE MARIE COONS DSW
Social Worker (Clinical)
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180
MR. DAVID R KAUFMAN JR. RPH
Pharmacist
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-6429
JOLENE A DERFUS SAC-IT
Counselor (Addiction (Substance Use Disorder))
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180
DR. RICHARD ARTHUR BRANDNER M.D.
Family Medicine
3144 VANZILE RD
CRANDON, WI 54520
Forest County (715) 478-5180

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 Sokaogon Chippewa Community's NPI number?

The NPI number for Sokaogon Chippewa Community is 1033115456. It was assigned to this organization in the NPPES registry on June 21, 2005.

Where is Sokaogon Chippewa Community located?

Sokaogon Chippewa Community is located at 3144 Vanzile Rd, Crandon, WI 54520. The listed phone number is (715) 478-5180.

What is Sokaogon Chippewa Community's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Sokaogon Chippewa Community accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 40 other insurers list Sokaogon Chippewa Community as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sokaogon Chippewa Community was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.