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Ho Chunk Nation

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Baraboo, WI

NPI 1659680718 · NPPES record last updated Mar 27, 2018

Key facts

NPI
1659680718
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
License
1413 (WI)
Legal business name
HO CHUNK NATION
Practice address
S2845 White Eagle Rd
Baraboo, WI 53913-9064
Phone
(608) 356-1251
Fax
(608) 356-7122
NPI assigned
Oct 6, 2010
Organization subpart
Yes
Parent organization (as reported)
HO CHUNK NATION

Authorized official

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

Corporate family (same tax ID) 12

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

National Provider Directory

Tax ID family
Ho Chunk Health Center (13 organizations share this tax ID)
Part of
Ho Chunk Health Center

Specialties & licenses

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

Addresses

Primary practice location

S2845 White Eagle Rd
Baraboo, WI 53913-9064

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
1413OtherWISTATE CERTIFICATION

Other names

  • House of Wellness Behavioral Health Doing business as

Other providers in Baraboo, WI

All providers in Baraboo, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

Sources for this page

Verify at the official NPI Registry.