Organization Active NPI

Ho Chunk Nation

Doing business as Ho-Chunk Behavioral Health Care Ctr - La Crosse

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
National Provider Identifier
1518276294
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1413 Issued in WI
Legal business name
HO CHUNK NATION
Doing business as
Ho-Chunk Behavioral Health Care Ctr - La Crosse
Practice address
724 Main St
La Crosse, WI 54601-4121
Phone
(608) 784-3083
Fax
(608) 784-4245
NPI assigned
Sep 29, 2010
Last updated
Mar 27, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HO CHUNK NATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Authorized official

Name
Ms. Liz M Lund
Title
Provider Network Manager
Phone
(715) 284-9851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1413 WI Primary

Addresses

Primary practice location

724 Main St
La Crosse, WI 54601-4121

Mailing address

N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone (715) 284-9851

Other identifiers 1

IdentifierTypeStateIssuer
1413OtherWISTATE CERTIFICATION

Other names 1

  • Ho-Chunk Behavioral Health Care Ctr - La Crosse Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ho Chunk Nation13 organizations share this tax ID, including this one
Part of
Ho Chunk Nation

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1518276294",
    "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": "724 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014121",
            "telephone_number": "608-784-3083",
            "fax_number": "608-784-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO CHUNK NATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HO CHUNK NATION",
        "enumeration_date": "2010-09-29",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "LIZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER NETWORK MANAGER",
        "authorized_official_telephone_number": "715-284-9851",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "1413",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ho-Chunk Behavioral Health Care Ctr - La Crosse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ho-Chunk Behavioral Health Care Ctr - La Crosse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.