Ho Chunk Nation

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

House of Wellness Behavioral Health

Practice address

S2845 White Eagle Rd
Baraboo, WI 53913-9064

Phone

(608) 356-1251

Fax

(608) 356-7122

NPI assigned

Oct 6, 2010

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

HO CHUNK NATIONAs reported in NPPES

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

Addresses

Other names 1

• House of Wellness Behavioral Health Doing business as

Tax ID family

Ho Chunk Healthcare Ctr13 organizations share this tax ID, including this one

Part of

Ho Chunk Healthcare Ctr

Other organizations with this tax ID 12

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

• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care - Nekoosa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nekoosa, WI
  • NPI 1154630390
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care - Tomah

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tomah, WI
  • NPI 1427367663
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care Ctr - La Crosse

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
  • NPI 1518276294
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Center-Wittenberg

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wittenberg, WI
  • NPI 1568771624
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Care Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Black River Falls, WI
  • NPI 1790095800
  NPD tax ID
• Ho Chunk Nation

  dba Ho-Chunk Community Health Care Nursing Program

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
  • NPI 1922263656
  NPD tax ID
• Ho Chunk Nation

  dba House of Wellness Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Baraboo, WI
  • NPI 1972725240
  NPD tax ID
• Ho-Chunk Health Care Center

  • Preferred Provider Organization
  • Black River Falls, WI
  • NPI 1639553100
  NPD tax ID
• Ho-Chunk Nation

  dba Ho-Chunk Health Care Retail Pharmacy

  • Community/Retail Pharmacy
  • Black River Falls, WI
  • NPI 1386802718
  NPD tax ID
• Ho-Chunk Nation

  dba Ho-Chunk Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
  • NPI 1407911795
  NPD tax ID
• Ho-Chunk Nation

  dba House of Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Baraboo, WI
  • NPI 1487812897
  NPD tax ID
• Ho-Chunk Nation

  dba Ho-Chunk Health Care Center Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Black River Falls, WI
  • NPI 1699988295
  NPD tax ID

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1659680718",
    "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": "S2845 WHITE EAGLE RD",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139064",
            "telephone_number": "608-356-1251",
            "fax_number": "608-356-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO CHUNK NATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HO CHUNK NATION",
        "enumeration_date": "2010-10-06",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of Wellness Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "House of Wellness Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn L Heckenkamp, LPC
• Amy J Heimann
• Erich Herbst, DDS
• Annette Rae Hibner, LMFT-IT
• Ho Chunk Nation (HO CHUNK NATION d/b/a House of Wellness)
• Ho Chunk Nation (House of Wellness Pharmacy)
• Ho-Chunk Nation (House of Wellness Center Pharmacy)
• Suzanne M Hockley Murry
• Jamie Hohl, SWIT
• Lisa Hollett, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• 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.