1285741306 FOREST COUNTY POTAWATOMI COMMUNITY
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- FOREST COUNTY POTAWATOMI COMMUNITY
- Enumeration Date
- August 24, 2006
- Last Update
- December 9, 2020
- Authorized Official
- MR. NED DANIELS
TRIBAL CHAIRMAN
Phone: (715) 478-4824
Practice Location
- Address
- 8201 MISH KO SWEN DRIVE
CRANDON, WI 545208631 - Phone
- (715) 478-4300
- Fax
- (715) 478-4300
Mailing Address
- Address
- PO BOX 396
CRANDON, WI 545200396 - Phone
- (715) 478-4300
- Fax
- (715) 478-4490
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dietary Manager | 132700000X | Dietary Manager | N/A | N/A | No |
| Nutritionist | 133N00000X | Nutritionist | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| Community Health Clinic/Center Community Health | 261QC1500X | Clinic/Center | N/A | N/A | No |
| Dental Clinic/Center Dental | 261QD0000X | Clinic/Center | N/A | N/A | No |
| Hearing and Speech Clinic/Center Hearing and Speech | 261QH0700X | Clinic/Center | N/A | N/A | No |
| Podiatric Clinic/Center Podiatric | 261QP1100X | Clinic/Center | N/A | N/A | No |
| Radiology Clinic/Center Radiology | 261QR0200X | Clinic/Center | N/A | N/A | No |
| Mammography Clinic/Center Radiology, Mammography | 261QR0206X | Clinic/Center | N/A | N/A | No |
| Clinical Medical Laboratory | 291U00000X | Clinical Medical Laboratory | 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 |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Eyewear Supplier | 332H00000X | Eyewear Supplier | N/A | N/A | No |
| Hearing Aid Equipment | 332S00000X | Hearing Aid Equipment | N/A | N/A | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | WI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391235059016 | 01 | WI | BLUE CROSS BLUE SHIELD |
| 41752300 | 01 | WI | DURABLE MEDICAL EQUIPMENT |
| 42182600 | 01 | WI | AODA CLINIC |
| 32956600 | 05 | WI | N/A |
| 42182600 | 01 | WI | MENTAL HEALTH |
| DA0385 | 01 | WI | RAILROAD MEDICARE |
| 42182600 | 05 | WI | N/A |
| 44006100 | 01 | WI | PRENATAL CARE |
| 44006100 | 05 | WI | N/A |
| 41752300 | 05 | WI | N/A |
Frequently Asked Questions
What is FOREST COUNTY POTAWATOMI COMMUNITY's NPI number?
FOREST COUNTY POTAWATOMI COMMUNITY's NPI number is 1285741306.
Which doctor has NPI number 1285741306?
The doctor with NPI number 1285741306 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, CRANDON, WI, 545200396.
What is FOREST COUNTY POTAWATOMI COMMUNITY's phone number?
FOREST COUNTY POTAWATOMI COMMUNITY's phone number is (715) 478-4300.
Who is (715) 478-4300?
(715) 478-4300 is the phone number for FOREST COUNTY POTAWATOMI COMMUNITY.
What is FOREST COUNTY POTAWATOMI COMMUNITY's specialty?
FOREST COUNTY POTAWATOMI COMMUNITY's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is FOREST COUNTY POTAWATOMI COMMUNITY?
FOREST COUNTY POTAWATOMI COMMUNITY is a Federally Qualified Health Center (FQHC).
Is FOREST COUNTY POTAWATOMI COMMUNITY a Federally Qualified Health Center (FQHC)?
Yes, FOREST COUNTY POTAWATOMI COMMUNITY is a Federally Qualified Health Center (FQHC).
Is FOREST COUNTY POTAWATOMI COMMUNITY still practicing?
Yes, FOREST COUNTY POTAWATOMI COMMUNITY 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) 478-4300 to inquire about availability.
Is NPI 1285741306 still active?
Yes, NPI 1285741306 is currently active.
Where does FOREST COUNTY POTAWATOMI COMMUNITY practice?
FOREST COUNTY POTAWATOMI COMMUNITY practices in CRANDON, WI.