NPIMap

St. Croix Chippewa Indians of Wi

Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Webster, WI

NPI 1487875787 · NPPES record last updated Oct 15, 2024

Key facts

NPI
1487875787
Entity type
Organization (NPI type 2)
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Legal business name
ST. CROIX CHIPPEWA INDIANS OF WI
Practice address
4404 State Rd 70
Webster, WI 54893
Phone
(715) 349-8554
Fax
(715) 349-8529
NPI assigned
May 2, 2007
Organization subpart
Yes
Parent organization (as reported)
ST. CROIX TRIBAL COUNCIL

Authorized official

Name
Amber Heinz
Title
Health Director
Phone
(715) 349-8554

Corporate family (same tax ID) 6

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

National Provider Directory

Tax ID family
St Croix Chippewa Indians of Wi (7 organizations share this tax ID)
Part of
St Croix Chippewa Indians of Wi

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Yes

Addresses

Primary practice location

4404 State Rd 70
Webster, WI 54893

Mailing address

4404 State Rd 70
Webster, WI 54893
Phone (715) 349-8554

Other names

  • St. Croix Tribal Clinic Doing business as
  • St. Croix Tribal Pharmacy Doing business as

Other providers in Webster, WI

All providers in Webster, WI · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.