Active NPI
Ho-Chunk Nation
Doing business as Ho-Chunk Health Care Center
- Federally Qualified Health Center (FQHC)
- Black River Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HO-CHUNK NATION
- Doing business as
- Ho-Chunk Health Care Center
- Practice address
- N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405 - Phone
- (715) 284-9851
- Fax
- (715) 284-5150
- NPI assigned
- Dec 27, 2006
- Last updated
- Jan 6, 2026
- 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
- Liz Marie Lund
- Title
- Provider Network Manager
- Phone
- (715) 284-9851
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1413 | WI |
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 names 1
- Ho-Chunk Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050309000066 | WI | Part B Supplier - Clinic/Group Practice | 5496709867 |
Receives reassigned benefits from 36 practitioners 1 other NPI on this enrollment Practice locations: Baraboo, WI; Black River Falls, WI |
| O20141230001771 | WI | Part A Provider - Federally Qualified Health Center (FQHC) | 5496709867 |
1 other NPI on this enrollment Practice locations: Black River Falls, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407911795. Details of each certification follow.
Federally qualified health center certification: CCN 521807
- Legal name
- HO CHUNK NATION
- Doing business as
- HO-CHUNK HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Oct 1, 1991
- Last certification
- Oct 1, 1991
- Ownership / control type
- For profit – corporation
- Organization structure
- Government
- Incorporated
- Jan 1, 1990 in WI
- Enrollment address
- N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba HO CHUNK NATION d/b/a House of Wellness
- Federally Qualified Health Center (FQHC)
- Baraboo, WI
- NPI 1316002694
5496709867
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba HO CHUNK NATION d/b/a House of Wellness
- Federally Qualified Health Center (FQHC)
- Baraboo, WI
- NPI 1316002694
O20050309000066, O20141230001771
National Provider Directory
National Provider Directory- Tax ID family
- Ho Chunk Healthcare Ctr
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 Retail Pharmacy
- Community/Retail Pharmacy
- Black River Falls, WI
- NPI 1386802718
-
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
Locations
W9855 Airport Rd
Blk River Fls, WI 54615
Phone (715) 284-9343
430 Julie St
Unit 2
Tomah, WI 54660
Phone (608) 372-5819
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Wallace Apland | W-2 Managing Employee | Oct 6, 2014 | |
| Ho Chunk Nation | 5% Or Greater Direct Ownership Interest | Nov 1, 1994 | 100% |
| Elizabeth M Lund | W-2 Managing Employee | Jul 1, 2019 | 100% |
| Jon Greendeer | Corporate Officer | Jul 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba HO CHUNK NATION d/b/a House of Wellness
- Federally Qualified Health Center (FQHC)
- Baraboo, WI
- NPI 1316002694
5% Or Greater Direct Ownership Interest
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba HO CHUNK NATION d/b/a House of Wellness
- Federally Qualified Health Center (FQHC)
- Baraboo, WI
- NPI 1316002694
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 48
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.
-
- Family Nurse Practitioner
- Baraboo, WI
- NPI 1801270418
-
- Physician Assistant
- Baraboo, WI
- NPI 1457664625
-
- Registered Dietitian
- Black River Falls, WI
- NPI 1346454428
-
- Family Nurse Practitioner
- Black River Falls, WI
- NPI 1841386133
-
- Addiction (Substance Use Disorder) Counselor
- Monona, WI
- NPI 1801493994
-
- Family Medicine Physician
- Black River Falls, WI
- NPI 1346660685
-
- Family Medicine Physician
- Baraboo, WI
- NPI 1932278090
-
- Nurse Practitioner
- Black River Falls, WI
- NPI 1285974188
-
- Professional Counselor
- Tomah, WI
- NPI 1457058158
-
- Professional Counselor
- Black River Falls, WI
- NPI 1538794284
-
- Professional Counselor
- Baraboo, WI
- NPI 1720610454
-
- Professional Counselor
- La Crosse, WI
- NPI 1003574252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1407911795",
"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": "N6520 LUMBERJACK GUY RD",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546155405",
"telephone_number": "715-284-9851",
"fax_number": "715-284-5150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HO-CHUNK NATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "LUND",
"authorized_official_first_name": "LIZ",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PROVIDER NETWORK MANAGER",
"authorized_official_telephone_number": "715-284-9851"
},
"taxonomies": [
{
"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": "WI",
"license": "1413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ho-Chunk Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Black River Falls, WI
- 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 Retail Pharmacy)
- Ho-Chunk Nation (Ho-Chunk Health Care Center Pharmacy)
- Chanelle R Holliday, DC
- Cathleen L Holm, MA, LMFT
- Roberta L Holman, MS, CADC
- Lynn L Hoornstra, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.