Active NPI
Ho-Chunk Nation
Doing business as Ho-Chunk Health Care Retail Pharmacy
- Community/Retail Pharmacy
- Black River Falls, WI
National Provider Identifier
1386802718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8340-42
- Legal business name
- HO-CHUNK NATION
- Doing business as
- Ho-Chunk Health Care Retail Pharmacy
- Practice address
- N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405 - Phone
- (715) 284-9851
- Fax
- (715) 284-2293
- NPI assigned
- Jun 2, 2008
- Last updated
- Apr 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wally L Apland
- Title
- Health Dept Director of Finance
- Phone
- (715) 284-9851
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | NU | ||
| Clinic Pharmacy | 3336C0002X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 8340-42 | WI | Primary |
Addresses
Primary practice location
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Mailing address
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone (715) 284-9851
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100049808 | Medicaid | WI | |
| 2111111 | Other | PK |
Other names 1
- Ho-Chunk Health Care Retail Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Ho Chunk Nation
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ho-Chunk Behavioral Health Care - Nekoosa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nekoosa, WI
- NPI 1154630390
-
dba Ho-Chunk Behavioral Health Care - Tomah
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tomah, WI
- NPI 1427367663
-
dba Ho-Chunk Behavioral Health Care Ctr - La Crosse
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Crosse, WI
- NPI 1518276294
-
dba Ho-Chunk Behavioral Health Center-Wittenberg
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wittenberg, WI
- NPI 1568771624
-
dba House of Wellness Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baraboo, WI
- NPI 1659680718
-
dba Ho-Chunk Behavioral Health Care Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Black River Falls, WI
- NPI 1790095800
-
dba Ho-Chunk Community Health Care Nursing Program
- Federally Qualified Health Center (FQHC)
- Black River Falls, WI
- NPI 1922263656
-
dba House of Wellness Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Baraboo, WI
- NPI 1972725240
-
- Preferred Provider Organization
- Black River Falls, WI
- NPI 1639553100
-
dba Ho-Chunk Health Care Center
- Federally Qualified Health Center (FQHC)
- Black River Falls, WI
- NPI 1407911795
-
dba House of Wellness Center Pharmacy
- Community/Retail Pharmacy
- Baraboo, WI
- NPI 1487812897
-
dba Ho-Chunk Health Care Center Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Black River Falls, WI
- NPI 1699988295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680739200000",
"number": "1386802718",
"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": "715-284-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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": "715-284-2293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HO-CHUNK NATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A",
"authorized_official_last_name": "APLAND",
"authorized_official_first_name": "WALLY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "HEALTH DEPT DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "715-284-9851"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "8340-42",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100049808",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2111111",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ho-Chunk Health Care Retail Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Black River Falls, WI
- Heyde Health System, Inc (Family Heritage Care Center)
- Heyde Health System, Inc (Parkside Residence)
- Ho Chunk Nation (Ho-Chunk Behavioral Health Care Center)
- Ho Chunk Nation (Ho-Chunk Community Health Care Nursing Program)
- Ho-Chunk Health Care Center
- Ho-Chunk Nation (Ho-Chunk Health Care Center)
- Ho-Chunk Nation (Ho-Chunk Health Care Center Pharmacy)
- Chanelle R Holliday, DC
- Cathleen L Holm, MA, LMFT
- Roberta L Holman, MS, CADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.