NPI Index

FOREST COUNTY POTAWATOMI COMMUNITY

Clinic/Center - Federally Qualified Health Center (FQHC)

Active Organization
NPI: 1285741306

Practice Address

8201 MISH KO SWEN DRIVE
Crandon, WI 54520

Phone: (715) 478-4300

Specialties

Specialty Code Primary License
Dietary Manager 132700000X No -
Nutritionist 133N00000X No -
Pediatrics 208000000X No -
Clinic/Center - Community Health 261QC1500X No -
Clinic/Center - Dental 261QD0000X No -
Clinic/Center - Hearing and Speech 261QH0700X No -
Clinic/Center - Podiatric 261QP1100X No -
Clinic/Center - Radiology 261QR0200X No -
Clinic/Center - Radiology, Mammography 261QR0206X No -
Clinical Medical Laboratory 291U00000X No -
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X No -
Durable Medical Equipment & Medical Supplies 332B00000X No -
Eyewear Supplier 332H00000X No -
Hearing Aid Equipment 332S00000X No -
Clinic/Center - Federally Qualified Health Center (FQHC) 261QF0400X Yes -

Frequently Asked Questions

NPI 1285741306 is the National Provider Identifier for FOREST COUNTY POTAWATOMI COMMUNITY, a Clinic/Center - Federally Qualified Health Center (FQHC) provider located in Crandon, WI. This NPI was enumerated on August 24, 2006.

Quick Facts

NPI
1285741306
Type
Organization
Enumerated
Aug 24, 2006
Last Updated
Dec 9, 2020

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