BAD RIVER CLINIC PHARMACY
NPI 1710222989
Clinic/Center - Federally Qualified Health Center (FQHC) in Ashland, WI
About Bad River Clinic Pharmacy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAD RIVER CLINIC PHARMACY (NPI 1710222989) is a healthcare organization registered as a federally qualified health center (fqhc) in Ashland, Wisconsin and active in the NPI registry since November 2012. The organization lists June Louise Williams, Billing/prc Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
ASHLAND, WI 54806
ASHLAND, WI 54806
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 Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.'s NPI number?
The NPI number for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. is 1710222989. It was assigned to this organization in the NPPES registry on November 29, 2012. The provider is doing business as Bad River Clinic Pharmacy.
Where is Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. located?
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. is located at 53585 Nokomis Rd, Ashland, WI 54806. The listed phone number is (715) 682-7133.
What is Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
When was this NPI record last updated?
The NPPES record for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bad River Clinic Pharmacy · NPI 1710222989
Federally Qualified Health Center (FQHC) organization in Ashland, Wisconsin. Organization record, active in the CMS NPPES registry since November 29, 2012.
## Identity
- **NPI:** 1710222989 (Entity type: Organization)
- **Enumerated:** November 29, 2012
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.
- **Organization subpart:** Yes (part of Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.)
- **Authorized official:** June Williams, BILLING/PRC MANAGER
## Practice location
- **Address:** 53585 NOKOMIS RD, Ashland, WI 54806-4272
- **Phone:** (715) 682-7133
## Record status
- **NPPES last updated:** June 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710222989) · Data from the CMS NPPES public registry.