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RED CLIFF AODA PROGRAM/MISHOMIS HOUSE
NPI 1457688863
Clinic/Center - Rehabilitation, Substance Use Disorder in Bayfield, WI

Active since November 05, 2009
37390 N BRADUM RD, BAYFIELD, WI 54814(715) 779-3741(715) 779-3765 Get Directions Write a Review

NPPES record last updated: November 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Red Cliff Aoda Program/mishomis House NPPES

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

RED CLIFF AODA PROGRAM/MISHOMIS HOUSE (NPI 1457688863) is a healthcare organization registered as a rehabilitation, substance use disorder in Bayfield, Wisconsin and active in the NPI registry since November 2009. The organization lists Martin A Gordon, Program Director, as its authorized official.

NPPES Registry Identity

NPI1457688863
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRED CLIFF AODA PROGRAM/MISHOMIS HOUSE
Location Address37390 N BRADUM RDBayfield, WI 54814-4832
Mailing Address88385 Pike RdBayfield, WI 54814-4818 · (715) 779-3741 · Fax (715) 779-3765
Phone(715) 779-3741
Fax(715) 779-3765
Organization SubpartNo
Authorized OfficialMartin A GordonProgram Director · (715) 779-3741
Enumeration DateNovember 5, 2009
✔ NPI 1457688863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in WI · 1781
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 1781 (WI)
37390 N BRADUM RD, Bayfield, WI 54814
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Other Identifiers 1

Medicaid42128500WI

Other Providers at the Same Location NPPES 5

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

PATRICIA M. KENOTE-DEPERRY
Counselor (Addiction (Substance Use Disorder))
37390 N BRADUM RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3741
RED CLIFF BAND OF CHIPPEWA INDIANS
Counselor (Addiction (Substance Use Disorder))
37390 N BRADUM RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3741
MR. MARTIN A GORDON
Counselor (Addiction (Substance Use Disorder))
37390 N BRADUM RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3741
MS. GAIL MARIE LEMIEUX SAC
Counselor (Addiction (Substance Use Disorder))
37390 N BRADUM RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3741
MR. CHRISTOPHER DANIEL BOYD SR. SAC
Counselor (Addiction (Substance Use Disorder))
37390 N BRADUM RD
BAYFIELD, WI 54814
Bayfield County (715) 779-3741

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 Aoda Program/Mishomis House's NPI number?

The NPI number for Red Cliff Aoda Program/Mishomis House is 1457688863. It was assigned to this organization in the NPPES registry on November 5, 2009.

Where is Red Cliff Aoda Program/Mishomis House located?

Red Cliff Aoda Program/Mishomis House is located at 37390 N Bradum Rd, Bayfield, WI 54814. The listed phone number is (715) 779-3741.

What is Red Cliff Aoda Program/Mishomis House's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Red Cliff Aoda Program/Mishomis House was last updated on November 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.