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LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
NPI 1306016563
Clinic/Center - Federally Qualified Health Center (FQHC) in Lac Du Flambeau, WI

Active since March 04, 2008
533 PEACE PIPE ROAD, LAC DU FLAMBEAU, WI 54538(715) 588-1511(715) 588-3903 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2026, Oct 19, 2016 (2 updates tracked since 2016).

About Lac Du Flambeau Band Of Lake Superior Chippewa Indians NPPES

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

LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS (NPI 1306016563), doing business as Family Resource Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Lac Du Flambeau, Wisconsin and active in the NPI registry since March 2008. The organization lists Charmaine A Hopkins, Frc Exec. Admin Asst., as its authorized official.

NPPES Registry Identity

NPI1306016563
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Location Address533 PEACE PIPE ROADLac Du Flambeau, WI 54538-0189
Mailing Address533 Peace Pipe RdLac Du Flambeau, WI 54538-9123 · (715) 588-1511 · Fax (715) 588-3903
Phone(715) 588-1511
Fax(715) 588-3903
Organization SubpartYes
Authorized OfficialCharmaine A HopkinsFrc Exec. Admin Asst. · (715) 588-1511
Enumeration DateMarch 4, 2008
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1306016563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
533 PEACE PIPE ROAD, Lac Du Flambeau, WI 54538
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Other Names 1

Doing Business AsFamily Resource Center

Other Identifiers 3

Medicaid100368442WI
Medicaid42145400WI
Medicaid43084300WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Security Health Plan.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.

MR. PATRICK DAY RADC1
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MS. DEBRA L NEDDO CADCIII
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MRS. PATRICIA A USTIANOWSKI CADCIII
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MR. KEVIN A KNUDSON CADCIII
Counselor (Addiction (Substance Use Disorder))
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MR. ROBERT R POLFUS MA
Counselor (Mental Health)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
SUANNE VANNATTER MHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
MS. REGINA RAE FOX LPC, CSAC
Counselor (Professional)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511
KELLY J BURG LCSW,SAC
Counselor (Mental Health)
533 PEACE PIPE ROAD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-1511

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 Lac Du Flambeau Band Of Lake Superior Chippewa Indians's NPI number?

The NPI number for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 1306016563. It was assigned to this organization in the NPPES registry on March 4, 2008. The provider is doing business as Family Resource Center.

Where is Lac Du Flambeau Band Of Lake Superior Chippewa Indians located?

Lac Du Flambeau Band Of Lake Superior Chippewa Indians is located at 533 Peace Pipe Road, Lac Du Flambeau, WI 54538. The listed phone number is (715) 588-1511.

What is Lac Du Flambeau Band Of Lake Superior Chippewa Indians's specialty?

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

What insurance does Lac Du Flambeau Band Of Lake Superior Chippewa Indians accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Security Health Plan list Lac Du Flambeau Band Of Lake Superior Chippewa Indians 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 Lac Du Flambeau Band Of Lake Superior Chippewa Indians was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.