NPI 1639553100

Ho-Chunk Health Care Center

Organisation Preferred Provider Organization Black River Falls, WI

Practice location

Address: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615
Phone: (715) 284-9851
Fax: (715) 284-3434

Authorised official

Name: Rachael Dozer
Title: Behavioral Health Clinician 1
Phone: (715) 299-6949

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1407911795 (WI)

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Registry record

NPI: 1639553100
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.