FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER
NPI 1376650499
Clinic/Center - Mental Health (Including Community Mental Health Center) in Crandon, WI

Q: What is Forest County Potawatomi Health & Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 24, 2006CLIA 52D0678081 · Accreditation

8201 MISH KO SWEN DR, CRANDON, WI 54520(715) 478-4300(715) 478-4490 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Forest County Potawatomi Health & Wellness Center NPPES

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

FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER (NPI 1376650499) is a healthcare organization registered as a mental health (including community mental health center) in Crandon, Wisconsin and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through May 17, 2028 and lists Ned Daniels, Tribal Chairman, as its authorized official.

NPPES Registry Identity

NPI1376650499

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameFOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER

Location Address8201 MISH KO SWEN DRCrandon, WI 54520-8631

Mailing AddressPo Box 396, 8201 Mish Ko Swen DriveCrandon, WI 54520-0396 · (715) 478-4300 · Fax (715) 478-4490

Phone(715) 478-4300

Fax(715) 478-4490

Organization SubpartNo

Authorized OfficialNed DanielsTribal Chairman · (715) 478-4824

Enumeration DateAugust 24, 2006

Last NPPES UpdateDecember 9, 2020

NPPES CertifiedDecember 9, 2020

✔ NPI 1376650499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

8201 MISH KO SWEN DR, Crandon, WI 54520

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Other Identifiers 1

Medicaid42182600WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 52D0678081

Forest Cty Potawatomi Health And Wellness Center · Crandon, WI

Active · expires May 17, 2028

CLIA Number52D0678081

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMay 17, 2028

Laboratory DirectorMs. Sher Mcgregor

Laboratory Phone(715) 478-4343

Laboratory LocationForest Cty Potawatomi Health And Wellness Center8201 Mish Ko Swen Drive, Crandon, WI 54520

CLIA data matches this NPI record on: Address

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.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Forest County Potawatomi Community carries, from the Medicare DMEPOS supplier directory.

Forest County Potawatomi Community

DMEPOS supplier · Crandon, WI

✔

Accepts Medicare assignment

Forest County Potawatomi Community agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20627519

Medicare Participant SinceJuly 24, 2000

Supplier Location8201 Mish Ko Swen DrCrandon, WI 54520

Phone(715) 478-4300

Provider TypeIndian Health Service · Physician – Podiatry

Medicare Product Categories

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Urological Supplies

Catheters, Urinary collection devices

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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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.

JAMES SEYMOUR CSW/CSAC

Counselor (Addiction (Substance Use Disorder))