NPIMap

Organization Active NPI

Lac Du Flambeau Band of Lake Superior Chippewa Indians

Doing business as Family Resource Center

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
National Provider Identifier
1306016563
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Doing business as
Family Resource Center
Practice address
533 Peace Pipe Road
Lac Du Flambeau, WI 54538-0189
Phone
(715) 588-1511
Fax
(715) 588-3903
NPI assigned
Mar 4, 2008
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Charmaine A Hopkins
Title
FRC Exec. Admin Asst.
Phone
(715) 588-1511

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

533 Peace Pipe Road
Lac Du Flambeau, WI 54538-0189

Mailing address

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-9123
Phone (715) 588-1511

Other names 1

  • Family Resource Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050221000179 WI Part B Supplier - Clinic/Group Practice 5496707242 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lac Du Flambeau, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Resource Center3 organizations share this tax ID, including this one
Part of
Family Resource Center

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1306016563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545389123",
            "telephone_number": "715-588-1511",
            "fax_number": "715-588-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE ROAD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380189",
            "telephone_number": "715-588-1511",
            "fax_number": "715-588-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS",
        "enumeration_date": "2008-03-04",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FRC EXEC. ADMIN ASST.",
        "authorized_official_telephone_number": "715-588-1511"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Resource Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lac Du Flambeau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.