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RED CLIFF COMM HEALTH CENTER PHY
NPI 1275606808
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bayfield, WI

Active since November 15, 2006
36745 AIKEN RD, BAYFIELD, WI 54814(715) 779-3157(715) 779-3501 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2018, May 3, 2018 (2 updates tracked since 2018).

About Red Cliff Comm Health Center Phy NPPES

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

RED CLIFF COMM HEALTH CENTER PHY (NPI 1275606808) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Bayfield, Wisconsin and active in the NPI registry since November 2006. The organization lists Richard Peterson, Tribal Chairman, as its authorized official.

NPPES Registry Identity

NPI1275606808
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameRED CLIFF BAND OF :AKE SUPERIOR
Location Address36745 AIKEN RDBayfield, WI 54814-4579
Mailing Address36745 Aiken RdBayfield, WI 54814-4579 · (715) 779-3157 · Fax (715) 779-3752
Phone(715) 779-3157
Fax(715) 779-3501
Organization SubpartNo
Authorized OfficialRichard PetersonTribal Chairman · (715) 779-3700
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 19, 20182 updates tracked since enumeration
✔ NPI 1275606808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
Taxonomy Code332800000X
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
36745 AIKEN RD, Bayfield, WI 54814
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Other Names 1

Doing Business AsRed Cliff Comm Health Center Phy

Other Identifiers 2

Other2108718Pk
Medicaid32956200WI

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 8

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

NICOLE RENEE GURNOE
Counselor (Mental Health)
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
DR. MARK AVERY FULLER MD
Internal Medicine
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
TAMARA L KOLESAR LPC-IT, SAC-IT
Counselor (Mental Health)
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Clinic/Center (Federally Qualified Health Center (FQHC))
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
DR. ANN ELIZABETH REITZ M.D.
Family Medicine
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
MR. JAMES E PEACOCK CSAC, ICS
Counselor (Addiction (Substance Use Disorder))
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
CRAIG O SHANKS LPC
Counselor (Mental Health)
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3707
JENNIFER KUPCZYK PHARM.D.
Pharmacist
36745 AIKEN RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3157

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 Red Cliff Band Of :ake Superior's NPI number?

The NPI number for Red Cliff Band Of :ake Superior is 1275606808. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Red Cliff Comm Health Center Phy.

Where is Red Cliff Band Of :ake Superior located?

Red Cliff Band Of :ake Superior is located at 36745 Aiken Rd, Bayfield, WI 54814. The listed phone number is (715) 779-3157.

What is Red Cliff Band Of :ake Superior's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

What insurance does Red Cliff Band Of :ake Superior 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 45 other insurers list Red Cliff Band Of :ake Superior 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 Red Cliff Band Of :ake Superior was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.