| Red Cliff Band Of Lake Superior Chippewa | |
|
88455 Pike Road Bayfield WI 54814 | |
| (715) 779-3707 | |
| (715) 779-3711 |
| Full Name | Red Cliff Band Of Lake Superior Chippewa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 88455 Pike Road, Bayfield, Wisconsin |
| Authorized Official Name and Position | Patricia Ann Deragon-navarro (HEALTH ADMINISTRATOR) |
| Authorized Official Contact | 7157793707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Cliff Band Of Lake Superior Chippewa 88385 Pike Rd Bayfield WI 54814-4818 Ph: (715) 779-3700 | Red Cliff Band Of Lake Superior Chippewa 88455 Pike Road Bayfield WI 54814 Ph: (715) 779-3707 |
| NPI Number | 1205007796 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205007796 | NPI | - | NPPES |
| 42200000 | Other | WI | MEDICAID-MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 772-123 (Wisconsin) | Primary |
Red Cliff Band Of Chippewa Indians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37390 N Bradum Rd, Bayfield, WI 54814 Phone: 715-779-3741 Fax: 715-779-3765 | |
Valley Birch, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Rittenhouse Avenue, Bayfield, WI 54814 Phone: 715-779-5678 | |
Red Cliff Band Of Lake Superior Chippewa Indians Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 36745 Aiken Rd, Bayfield, WI 54814 Phone: 715-779-3707 Fax: 715-779-3362 | |
The Equine Connection Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93600 Little Sand Bay Rd, Bayfield, WI 54814 Phone: 715-600-0346 |