NPIMap

Organization Active NPI

Ho-Chunk Nation

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
National Provider Identifier
1407911795
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HO-CHUNK NATION
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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)CodeLicenseStatePrimary
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 identifiers 2

IdentifierTypeStateIssuer
32955400MedicaidWI
100039261MedicaidWI

Other names 1

  • Ho-Chunk Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
GovernmentNon-profit
Incorporated
Jan 1, 1990 in WI
Enrollment address
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405

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
Ho Chunk Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

W9855 Airport Rd
Blk River Fls, WI 54615
Phone (715) 284-9343

724 Main St
La Crosse, WI 54601
Phone (608) 784-3083

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.

NameRoleSinceShare
Wallace Apland Individual W-2 Managing EmployeeHealth Finance Director Oct 6, 2014
Ho Chunk Nation Organization, Black River Falls, WI 5% Or Greater Direct Ownership Interest Nov 1, 1994 100%
Elizabeth M Lund Individual W-2 Managing EmployeeProvider Network Manager Jul 1, 2019 100%
Jon Greendeer Individual 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.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 49

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32955400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039261",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ho-Chunk Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.