1750399630 FOREST COUNTY POTAWATOMI COMMUNITY

Clinic Pharmacy

Reactivated

Basic Information

Organization Name
FOREST COUNTY POTAWATOMI COMMUNITY
Enumeration Date
August 4, 2006
Last Update
November 20, 2024
Deactivation Date
December 4, 2008
Reactivation Date
November 20, 2024
Authorized Official
MS. KATIE L POLINSKE
REVENUE CYCLE MANAGER
Phone: (715) 478-4333

Practice Location

Address
8201 MISH KO SWEN DRIVE
CRANDON, WI 545208631
Phone
(715) 478-4347
Fax
(715) 478-4409

Mailing Address

Address
PO BOX 396
5409 EVERYBODYS ROAD
CRANDON, WI 545200396
Phone
(715) 478-4347
Fax
(715) 478-4409

Specialties & Taxonomies

Specialty Code Classification License State Primary
Pharmacy
 333600000X Pharmacy N/A N/A No
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy N/A N/A No
Clinic Pharmacy
Clinic Pharmacy
 3336C0002X Pharmacy N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
32956600 05 WI N/A

Frequently Asked Questions

What is FOREST COUNTY POTAWATOMI COMMUNITY's NPI number?
FOREST COUNTY POTAWATOMI COMMUNITY's NPI number is 1750399630.
Which doctor has NPI number 1750399630?
The doctor with NPI number 1750399630 is FOREST COUNTY POTAWATOMI COMMUNITY.
What is FOREST COUNTY POTAWATOMI COMMUNITY's practice address?
FOREST COUNTY POTAWATOMI COMMUNITY's practice address is 8201 MISH KO SWEN DRIVE, CRANDON, WI, 545208631.
Which doctor practices at 8201 MISH KO SWEN DRIVE, CRANDON, WI, 545208631?
FOREST COUNTY POTAWATOMI COMMUNITY practices at 8201 MISH KO SWEN DRIVE, CRANDON, WI, 545208631.
What is FOREST COUNTY POTAWATOMI COMMUNITY's mailing address?
FOREST COUNTY POTAWATOMI COMMUNITY's mailing address is PO BOX 396, 5409 EVERYBODYS ROAD, CRANDON, WI, 545200396.
What is FOREST COUNTY POTAWATOMI COMMUNITY's phone number?
FOREST COUNTY POTAWATOMI COMMUNITY's phone number is (715) 478-4347.
Who is (715) 478-4347?
(715) 478-4347 is the phone number for FOREST COUNTY POTAWATOMI COMMUNITY.
What is FOREST COUNTY POTAWATOMI COMMUNITY's specialty?
FOREST COUNTY POTAWATOMI COMMUNITY's specialty is Clinic Pharmacy.
What type of doctor is FOREST COUNTY POTAWATOMI COMMUNITY?
FOREST COUNTY POTAWATOMI COMMUNITY is a Clinic Pharmacy.
Is FOREST COUNTY POTAWATOMI COMMUNITY a Clinic Pharmacy?
Yes, FOREST COUNTY POTAWATOMI COMMUNITY is a Clinic Pharmacy.
Is FOREST COUNTY POTAWATOMI COMMUNITY still practicing?
Yes, FOREST COUNTY POTAWATOMI COMMUNITY has reactivated their practice and is currently practicing.
Is FOREST COUNTY POTAWATOMI COMMUNITY accepting new patients?
FOREST COUNTY POTAWATOMI COMMUNITY may be accepting new patients. Please call their office at (715) 478-4347 to inquire about availability.
Is NPI 1750399630 still active?
Yes, NPI 1750399630 has been reactivated and is currently active.
Where does FOREST COUNTY POTAWATOMI COMMUNITY practice?
FOREST COUNTY POTAWATOMI COMMUNITY practices in CRANDON, WI.