Stockbridge Munsee Community

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

STOCKBRIDGE MUNSEE COMMUNITY

Doing business as

Stockbridge Munsee Health & Wellness

Practice address

W12802 County Road a
Bowler, WI 54416-0086

Phone

(715) 793-4144

Fax

(715) 793-4120

NPI assigned

Mar 8, 2007

Last updated

Dec 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Chicks

Title

President

Phone

(715) 793-4111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stockbridge Munsee Health & Wellness Doing business as

Tax ID family

Stockbridge Munsee Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Stockbridge Munsee Health and Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowler, WI
  • NPI 1245686047
  NPD tax ID
• Stockbridge-Munsee Health and Wellness Center

  • Primary Care Clinic/Center
  • Bowler, WI
  • NPI 1659767382
  NPD tax ID

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1942331467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W12802 COUNTY ROAD A",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "544160086",
            "telephone_number": "715-793-4144",
            "fax_number": "715-793-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W12802 COUNTY ROAD A",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "544160086",
            "telephone_number": "715-793-4144",
            "fax_number": "715-793-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE MUNSEE COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "CHICKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-793-4111"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33021000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDC-PHARMACY",
            "identifier": "5118799",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockbridge Munsee Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna L Powless, LPC
• Debra Anne Safford
• Whitney Marie Schreiber, RN, BSN, CDE
• Sheena Spencer
• Stockbridge Munsee Community (Stockbridge Munsee Health & Wellness Ctr)
• Stockbridge Munsee Health and Wellness Center
• Stockbridge-Munsee Health and Wellness Center
• Jennifer Lynn Strassburg
• Kathleen McClelland Swarts, DDS
• Robert Glendon Swarts, DDS,MS

• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bowler, WI
• Providers in Bowler, WI by specialty
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.