1. Home
  2. Directory
  3. Wisconsin
  4. Keshena
  5. Clinic Center
  6. NPI Profile

MENOMINEE TRIBAL CLINIC-WOMEN'S PERSONAL HEALTH
NPI 1164618088
Clinic/Center - Family Planning, Non-Surgical in Keshena, WI

Active since September 25, 2007CLIA 52D0394456 · Accreditation
W3275 WOLF RIVER ROAD, KESHENA, WI 54135(715) 799-3361(715) 799-3099 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Menominee Tribal Clinic-women's Personal Health NPPES

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

MENOMINEE TRIBAL CLINIC-WOMEN'S PERSONAL HEALTH (NPI 1164618088) is a healthcare organization registered as a family planning, non-surgical in Keshena, Wisconsin and active in the NPI registry since September 2007. The organization holds an CLIA Accreditation certificate valid through January 12, 2027 and lists Jerry L Waukau, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1164618088
Entity TypeOrganization
Primary Taxonomy261QF0050X
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 DateSeptember 25, 2007
Last NPPES UpdateMarch 11, 2009
✔ NPI 1164618088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Family Planning, Non-SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QF0050X
License✔ Licensed in WI · 93107-030
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
W3275 WOLF RIVER ROAD, Keshena, WI 54135
Open in Google Maps ↗

Other Names 1

Doing Business AsMenominee Tribal Clinic-women's Personal Health

Other Identifiers 2

Medicaid42010500WI
Medicare PIN000036030WI

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 52D0394456

Menominee Tribal Clinic · Keshena, WI
Active · expires Jan 12, 2027
CLIA Number52D0394456
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorDr. Amy J. Slagle
Laboratory Phone(715) 799-3361
Laboratory LocationMenominee Tribal ClinicW3275 Wolf River Rd PO Box 970, Keshena, WI 54135
CLIA data matches this NPI record on: Address 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.

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
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Mental Health (Including Community Mental Health Center))
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. THOMAS WALCZYK DDS
Dentist (General Practice)
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC
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 1164618088. It was assigned to this organization in the NPPES registry on September 25, 2007. The provider is doing business as Menominee Tribal Clinic-Women's Personal Health.

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 Family Planning, Non-Surgical, with taxonomy code 261QF0050X.

Does Menominee Indian Tribe Of Wisconsin hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0394456) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Menominee Indian Tribe Of Wisconsin was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.