NPIMap

Organization Active NPI

Lac Courte Oreilles Community Health Center

  • Case Manager/Care Coordinator
  • Hayward, WI
National Provider Identifier
1174848980
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LAC COURTE OREILLES COMMUNITY HEALTH CENTER
Practice address
9940 N County Hwy K
Hayward, WI 54843-2186
Phone
(715) 638-5169
NPI assigned
Apr 5, 2010
Organization subpart
Yes
Parent organization
LAC COURTE OREILLES GOVERNINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Rae E Baker
Title
Billing Manager
Phone
(715) 638-5169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

9940 N County Hwy K
Hayward, WI 54843-2186

Mailing address

9940 N County Hwy K
Hayward, WI 54843-2186
Phone (715) 638-5100

Other names 1

  • LAC COURTE OREILLES COMMUNITY HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lac Courte Oreilles Governing8 organizations share this tax ID, including this one
Part of
Lac Courte Oreilles Governing

Other organizations with this tax ID 7

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1174848980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 N COUNTY HWY K",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548432186",
            "telephone_number": "715-638-5100",
            "fax_number": "715-634-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 N COUNTY HWY K",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548432186",
            "telephone_number": "715-638-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC COURTE OREILLES COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAC COURTE OREILLES GOVERNING",
        "enumeration_date": "2010-04-05",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "715-638-5169"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAC COURTE OREILLES COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LAC COURTE OREILLES COMMUNITY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.