GOOKOMIS ENDAAD
NPI 1669970729
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lac Du Flambeau, WI
NPI Status: Active since January 24, 2018
Contact Information
3378 N. SCHILLEMAN RD
LAC DU FLAMBEAU, WI
ZIP 54538
Phone: (715) 388-0762
Fax: (715) 588-1889
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 52D2318170
- CLIA Cert. Type: Other - SUBSTANCE ABUSE RECOVERY
- CLIA Exp. Date: 02-05-2027
About GOOKOMIS ENDAAD
This page provides the complete NPI Profile along with additional information for Gookomis Endaad, a provider established in Lac Du Flambeau, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1669970729 assigned on January 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Gookomis Endaad. The authorized official of this NPI record is Pamela Ahlborn (Compliance & Contract Coordinator)
- NPI
- 1669970729
- Provider Legal Name
- LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
- Other Organization Name
- GOOKOMIS ENDAAD
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3378 N. SCHILLEMAN RD LAC DU FLAMBEAU, WI 54538
- Location Phone
- (715) 388-0762
- Location Fax
- (715) 588-1889
- Mailing Address
- PO BOX 815 LAC DU FLAMBEAU, WI 54538
- Mailing Phone
- (715) 588-4422
- Mailing Fax
- (715) 588-1889
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2018
- Last Update Date
- 09-13-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | (WI) |
| 2 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 3100 (WI) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2318170
- Facility Type
- Other - SUBSTANCE ABUSE RECOVERY
- Certificate Effective Date
- February 06, 2025
- Certificate Expiration Date
- February 05, 2027
- Laboratory Director
- DEBORAH G. SWIADER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gookomis Endaad to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GOOKOMIS ENDAAD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669970729, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669970729, enumerated as an "organization" on January 24, 2018.
The provider is located at 3378 N. SCHILLEMAN RD LAC DU FLAMBEAU, WI 54538 and the phone number is (715) 388-0762.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
