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NPI Code Detail

MEDICARE: HO CHUNK NATION

MEDICARE: HO CHUNK NATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)1413WI
2261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316002694
Entity Type Code : Organization
Provider Name (Legal Business Name) : HO CHUNK NATION
Provider Business Mailing Address
First Line : S2845 WHITE EAGLE RD
Second Line :
City : BARABOO
State : WI
Zip : 53913-9064
Country : US
Telephone Number : 608-355-1240
Fax Number : 608-355-5166
Provider Business Practice Location Address
First Line : S2845 WHITE EAGLE RD
Second Line :
City : BARABOO
State : WI
Zip : 53913-9064
Country : US
Telephone Number : 608-355-1240
Fax Number : 608-356-7122
Authorized Official
Title or Position : PROVIDER NETWORK MANAGER
Name : LIZ MARIE LUND
Credential :
Telephone Number : 715-284-9851
Provider Enumeration Date : 12/27/2006
Last Update Date : 01/06/2026

Similar Medicare Providers

1598861346 — DR. TED HALL PHARMD, BCPP, RPH
Practice Location Address:
S2845 WHITE EAGLE RD
BARABOO, WI
53913-9064
Practice Phone: 608-355-0251
Practice Fax: 608-355-9643
1164517074 — DR. LORI M HAUN OD
Practice Location Address:
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BARABOO, WI
53913-9064
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Practice Fax: 608-355-5166
1801982921 — CHERYL D. EASTMAN FNP
Practice Location Address:
S2845 WHITE EAGLE RD
BARABOO, WI
53913-9064
Practice Phone: 608-355-1240
Practice Fax: 608-355-0205
1376683698 — HEIDI M. ROTH
Practice Location Address:
S2845 WHITE EAGLE RD
BARABOO, WI
53913-9064
Practice Phone: 608-355-1240
Practice Fax:
1326171604 — HEATHER RENEE HAAS M.S., LMFT
Practice Location Address:
S2845 WHITE EAGLE RD
BARABOO, WI
53913-9064
Practice Phone: 608-355-1240
Practice Fax:
1972725240 — HO CHUNK NATION
Practice Location Address:
S2845 WHITE EAGLE RD
BARABOO, WI
53913-9064
Practice Phone: 608-355-5177
Practice Fax: 608-356-1233

Directions to “HO CHUNK NATION ” Practice Location

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