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BAD RIVER DENTAL OFFICE
NPI 1255682183
Clinic/Center - Federally Qualified Health Center (FQHC) in Ashland, WI

Active since October 02, 2012
53585 NOKOMIS RD, ASHLAND, WI 54806(715) 682-7133(715) 685-7857 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bad River Dental Office NPPES

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

BAD RIVER DENTAL OFFICE (NPI 1255682183) is a healthcare organization registered as a federally qualified health center (fqhc) in Ashland, Wisconsin and active in the NPI registry since October 2012. The organization lists Debra Ann Tutor, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1255682183
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBAD RIVER HEALTH AND WELLNESS CENTER
Location Address53585 NOKOMIS RDAshland, WI 54806-4272
Mailing Address53585 Nokomis RdAshland, WI 54806-4272 · (715) 682-7133 · Fax (715) 685-7857
Phone(715) 682-7133
Fax(715) 685-7857
Organization SubpartYesParent: Bad River Band Of Lake Superior Chippewa Indians
Authorized OfficialDebra Ann TutorClinic Administrator · (715) 682-7133
Enumeration DateOctober 2, 2012
✔ NPI 1255682183 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
53585 NOKOMIS RD, Ashland, WI 54806
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Other Names 1

Other NameBad River Dental Office

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.

MRS. JERELYN MARY KOOSMANN RDH
Dental Hygienist
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 685-7887
RUSSELL JOHN DENOMIE
Counselor (Addiction (Substance Use Disorder))
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7133
JOHN DOUGLAS IPSEN
Family Medicine
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7133
ALISON SPAUDE-FILIPCZAK CAPSW
Social Worker (Clinical)
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7133
LAURA BERG LADC
Counselor (Addiction (Substance Use Disorder))
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7137
BAD RIVER HONORING OUR CHILDREN
Case Management
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7137
COURTNEY HOLLOWAY
Registered Nurse
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7133
LEA WOLF
Social Worker
53585 NOKOMIS RD
ASHLAND, WI 54806
Ashland County (715) 682-7133

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 And Wellness Center's NPI number?

The NPI number for Bad River Health And Wellness Center is 1255682183. It was assigned to this organization in the NPPES registry on October 2, 2012. The provider is also known as Bad River Dental Office.

Where is Bad River Health And Wellness Center located?

Bad River Health And Wellness Center is located at 53585 Nokomis Rd, Ashland, WI 54806. The listed phone number is (715) 682-7133.

What is Bad River Health And Wellness Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Bad River Health And Wellness Center was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.