Ho Chunk Nation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1413 Issued in WI

Legal business name

HO CHUNK NATION

Doing business as

Ho-Chunk Behavioral Health Care - Nekoosa

Practice address

916 Chak-Hah-Chee Lane
Nekoosa, WI 54457

Phone

(715) 886-5444

Fax

(715) 886-4330

NPI assigned

Oct 6, 2010

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

HO CHUNK NATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Liz M Lund

Title

Provider Network Manager

Phone

(715) 284-9851

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ho-Chunk Behavioral Health Care - Nekoosa Doing business as

Tax ID family

Ho Chunk Nation13 organizations share this tax ID, including this one

Part of

Ho Chunk Nation

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care - Tomah

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tomah, WI
  • NPI 1427367663
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care Ctr - La Crosse

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
  • NPI 1518276294
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Center-Wittenberg

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wittenberg, WI
  • NPI 1568771624
  NPD tax ID
• Ho Chunk Nation

  dba House of Wellness Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baraboo, WI
  • NPI 1659680718
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Black River Falls, WI
  • NPI 1790095800
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Community Health Care Nursing Program

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
  • NPI 1922263656
  NPD tax ID
• Ho Chunk Nation

  dba House of Wellness Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Baraboo, WI
  • NPI 1972725240
  NPD tax ID
• Ho-Chunk Health Care Center

  • Preferred Provider Organization
  • Black River Falls, WI
  • NPI 1639553100
  NPD tax ID
• Ho-Chunk Nation

  dba Ho-Chunk Health Care Retail Pharmacy

  • Community/Retail Pharmacy
  • Black River Falls, WI
  • NPI 1386802718
  NPD tax ID
• Ho-Chunk Nation

  dba Ho-Chunk Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
  • NPI 1407911795
  NPD tax ID
• Ho-Chunk Nation

  dba House of Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Baraboo, WI
  • NPI 1487812897
  NPD tax ID
• Ho-Chunk Nation

  dba Ho-Chunk Health Care Center Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Black River Falls, WI
  • NPI 1699988295
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Ann Reimer, RN

  • Registered Nurse
  • Nekoosa, WI
  • NPI 1831426220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1154630390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6520 LUMBERJACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155405",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 CHAK-HAH-CHEE LANE",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "54457",
            "telephone_number": "715-886-5444",
            "fax_number": "715-886-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO CHUNK NATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HO CHUNK NATION",
        "enumeration_date": "2010-10-06",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER NETWORK MANAGER",
        "authorized_official_telephone_number": "715-284-9851",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "1413",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ho-Chunk Behavioral Health Care - Nekoosa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ho-Chunk Behavioral Health Care - Nekoosa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Ann Diehn
• Jonathan Allan Eggers
• Georgianne Elsen IV, RN
• James M Esselman
• Craig Flinders, D.O.
• Cheryl R. Jacoby, H.I.S.
• Mary Ellen Klement
• Kolar Optometric, LLC (Kolar Vision Center)
• Peter Michael Kolar, O.D.
• Salena Lemieux, MA, LPT-IT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nekoosa, WI
• Providers in Nekoosa, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.