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MTC MENTAL HEALTH SERVICES
NPI 1124291802
Clinic/Center - Mental Health (Including Community Mental Health Center) in Keshena, WI

Active since April 02, 2008
W3275 WOLF RIVER ROAD, KESHENA, WI 54135(715) 799-3361(715) 799-3099 Get Directions Write a Review

NPPES record last updated: April 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mtc Mental Health Services NPPES

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

MTC MENTAL HEALTH SERVICES (NPI 1124291802) is a healthcare organization registered as a mental health (including community mental health center) in Keshena, Wisconsin and active in the NPI registry since April 2008. The organization lists Jerry L Waukau, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1124291802
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENOMINEE INDIAN TRIBE OF WISCONSIN
Location AddressW3275 WOLF RIVER ROADKeshena, WI 54135
Mailing AddressPo Box 970Keshena, WI 54135-0970 · (715) 799-3361 · Fax (715) 799-3099
Phone(715) 799-3361
Fax(715) 799-3099
Organization SubpartNo
Authorized OfficialJerry L WaukauHealth Administrator · (715) 799-3361
Enumeration DateApril 2, 2008
✔ NPI 1124291802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 1588
W3275 WOLF RIVER ROAD, Keshena, WI 54135
Open in Google Maps ↗

Other Names 1

Doing Business AsMtc Mental Health Services

Other Identifiers 1

Medicaid42173700WI

Other Providers at the Same Location NPPES 20

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

PETER C. KEENAN M.D.
Family Medicine
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
SUE C WESO APNP
Nurse Practitioner (Family)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
MICHAEL J O'NEILL M.D.
Psychiatry & Neurology (Psychiatry)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
LEAH ROUSE
Psychologist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5451
DR. THOMAS WALCZYK DDS
Dentist (General Practice)
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC
KESHENA, WI 54135
Menominee County (715) 799-3361
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Family Planning, Non-Surgical)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. ROBERT P CHELBERG O.D.
Optometrist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5482
AMY J. SLAGLE M.D.
Family Medicine
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361

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 Menominee Indian Tribe Of Wisconsin's NPI number?

The NPI number for Menominee Indian Tribe Of Wisconsin is 1124291802. It was assigned to this organization in the NPPES registry on April 2, 2008. The provider is doing business as Mtc Mental Health Services.

Where is Menominee Indian Tribe Of Wisconsin located?

Menominee Indian Tribe Of Wisconsin is located at W3275 Wolf River Road, Keshena, WI 54135. The listed phone number is (715) 799-3361.

What is Menominee Indian Tribe Of Wisconsin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Menominee Indian Tribe Of Wisconsin was last updated on April 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.