PETER CHRISTENSEN HEALTH CENTER
NPI 1134235047
Clinic/Center - Federally Qualified Health Center (FQHC) in Lac Du Flambeau, WI

NPI Status: Active since August 22, 2006

Contact Information

129 OLD ABE RD
LAC DU FLAMBEAU, WI
ZIP 54538
Phone: (715) 588-3371
Fax: (715) 588-2031

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NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 52D0395874
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-10-2027

About PETER CHRISTENSEN HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Peter Christensen Health Center, a primary care provider established in Lac Du Flambeau, Wisconsin operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1134235047 assigned on August 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Peter Christensen Health Center. The authorized official of this NPI record is Mr. Randy Samuelson (Administrator)

NPI
1134235047
Provider Legal Name
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Other Organization Name
PETER CHRISTENSEN HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
129 OLD ABE RD LAC DU FLAMBEAU, WI 54538
Location Phone
(715) 588-3371
Location Fax
(715) 588-2031
Mailing Address
129 OLD ABE RD LAC DU FLAMBEAU, WI 54538
Mailing Phone
(715) 588-3371
Mailing Fax
(715) 588-2031
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-22-2006
Last Update Date
09-03-2013
Code Navigator

A primary care provider (PCP) like Peter Christensen Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
3261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • HMO Bronze $0 Medical Deductible - HMO
  • HMO Bronze 10000 - HMO
  • HMO Bronze 7500 - HMO
  • HMO Catastrophic 10600 with 3 free PCP visits - HMO
  • HMO Gold 2000 - HMO
  • HMO Gold 2700 - HMO
  • HMO HDHP Silver 5900 - HMO
  • HMO Silver 6000 - HMO
  • HMO Silver 6600 - HMO
  • POS Bronze 7500 - POS
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • Enrich $2,000 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,000 - 50% - HMO
  • Enrich $5,000 HDHP - HMO
  • Enrich $6,000 - 40% - HMO
  • Enrich $7,500 - HMO
  • Enrich $7,500 HDHP - HMO
  • Enrich $9,500 - HMO
  • Enrich Protection - HMO
  • Premier $2,000 - 25% - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RANDY SAMUELSON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(715) 588-3371

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
32956800MEDICAID (05)WI 
41854400MEDICAID (05)WI 
000064013MEDICARE PIN (08)WI 
44004700MEDICAID (05)WI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0395874
Facility Type
Community Clinic
Certificate Effective Date
August 11, 2025
Certificate Expiration Date
August 10, 2027
Laboratory Director
MS. DANIELLE M. BOROWSKI
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Peter Christensen Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134235047, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 4 + 3 + 1 + 0 + 0 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1134235047.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Optometrist
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Chiropractor
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Counselor (Addiction (Substance Use Disorder))
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Counselor (Addiction (Substance Use Disorder))
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Social Worker
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Pharmacist (Ambulatory Care)
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Pharmacist (Ambulatory Care)
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Nurse Practitioner (Acute Care)
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Physical Therapist
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Registered Nurse (Maternal Newborn)
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Nurse Practitioner (Family)
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Social Worker
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Registered Nurse
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538
Nurse Practitioner (Family)
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134235047, enumerated as an "organization" on August 22, 2006.

The provider is located at 129 OLD ABE RD LAC DU FLAMBEAU, WI 54538 and the phone number is (715) 588-3371.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.