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MENOMINEE TRIBAL CLINIC PHARMACY
NPI 1972545010
Pharmacy - Clinic Pharmacy in Keshena, WI

Active since June 12, 2006
W3275 WOLF RIVER ROAD, KESHENA, WI 54135(715) 799-3361(715) 799-3099 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Menominee Tribal Clinic Pharmacy NPPES

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

MENOMINEE TRIBAL CLINIC PHARMACY (NPI 1972545010) is a healthcare organization registered as a clinic pharmacy in Keshena, Wisconsin and active in the NPI registry since June 2006. The organization lists Jerry L Waukau, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1972545010
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMENOMINEE INDIAN TRIBE OF WISCONSIN
Location AddressW3275 WOLF RIVER ROADKeshena, WI 54135
Mailing AddressPo Box 970Keshena, WI 54135-0970 · (715) 799-3361 · Fax (715) 799-3099
Phone(715) 799-3361
Fax(715) 799-3099
Organization SubpartNo
Authorized OfficialJerry L WaukauHealth Administrator · (715) 799-3361
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1972545010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in WI · 7848-042
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
W3275 WOLF RIVER ROAD, Keshena, WI 54135
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Other Names 1

Doing Business AsMenominee Tribal Clinic Pharmacy

Other Identifiers 2

Medicaid32955700WI
Other5118446Napb #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

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.

PETER C. KEENAN M.D.
Family Medicine
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
SUE C WESO APNP
Nurse Practitioner (Family)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
MICHAEL J O'NEILL M.D.
Psychiatry & Neurology (Psychiatry)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
LEAH ROUSE
Psychologist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5451
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Mental Health (Including Community Mental Health Center))
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. THOMAS WALCZYK DDS
Dentist (General Practice)
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC
KESHENA, WI 54135
Menominee County (715) 799-3361
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Family Planning, Non-Surgical)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. ROBERT P CHELBERG O.D.
Optometrist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5482

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 Menominee Indian Tribe Of Wisconsin's NPI number?

The NPI number for Menominee Indian Tribe Of Wisconsin is 1972545010. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Menominee Tribal Clinic Pharmacy.

Where is Menominee Indian Tribe Of Wisconsin located?

Menominee Indian Tribe Of Wisconsin is located at W3275 Wolf River Road, Keshena, WI 54135. The listed phone number is (715) 799-3361.

What is Menominee Indian Tribe Of Wisconsin's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Menominee Indian Tribe Of Wisconsin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 39 other insurers list Menominee Indian Tribe Of Wisconsin 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 Menominee Indian Tribe Of Wisconsin was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.