Organization Active NPI

Sokaogon Chippewa Community

Doing business as Sokaogon Chippewa Health Clinic

  • Clinic Pharmacy
  • Crandon, WI
National Provider Identifier
1851902399
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
SOKAOGON CHIPPEWA COMMUNITY
Doing business as
Sokaogon Chippewa Health Clinic
Practice address
3144 Vanzile Rd
Crandon, WI 54520-8149
Phone
(715) 478-5180
Fax
(715) 478-5904
NPI assigned
Aug 10, 2020
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Chris McGeshick
Title
Clinic Director
Phone
(715) 478-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

3144 Vanzile Rd
Crandon, WI 54520-8149

Mailing address

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone (715) 478-5180

Other names 1

  • Sokaogon Chippewa Health Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0693164Sokaogon Chippewa Health Clinic3144 Vanzile Rd, Crandon, WI 54520Certificate of waiverMay 5, 2028

National Provider Directory

National Provider Directory
Tax ID family
Sokaogon Chippewa Community2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1851902399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 VANZILE RD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 VANZILE RD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545208149",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOKAOGON CHIPPEWA COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MCGESHICK",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "715-478-5180"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sokaogon Chippewa Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sokaogon Chippewa Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crandon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.