NPI Code Detail JSON Logo

1861751562 NPI number — BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS

NPI Number: 1861751562
Health Care Provider/Practitioner: BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS

Information about “1861751562” NPI (BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS) exists in 1861751562 in HTML format HTML  |  1861751562 in plain Text format TXT  |  1861751562 in PDF (Portable Document Format) PDF  |  1861751562 in an XML format XML  formats.

NPI Number : 1861751562 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861751562",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 55",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ODANAH",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54861-0055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "715-682-7127",
    "MailingAddressFaxNumber": "715-682-7883",
    "FirstLinePracticeLocationAddress": "72772 ELM STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ODANAH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54861-0055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "715-682-7127",
    "PracticeLocationAddressFaxNumber": "715-682-7883",
    "EnumerationDate": "05/15/2012",
    "LastUpdateDate": "05/15/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEOSO",
    "AuthorizedOfficialFirstName": "ESIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SOCIAL AND FAMILY SERVICES DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "715-682-7127",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253J00000X",
          "TaxonomyName": "Foster Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.