Gookomis Endaad is a primary clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Lac Du Flambeau, Wisconsin. The current practice location for Gookomis Endaad is 3378 N. Schilleman Rd, Lac Du Flambeau, Wisconsin. For appointments, you can reach them via phone at
(715) 388-0762. The mailing address for Gookomis Endaad is Po Box 815, Lac Du Flambeau, Wisconsin and phone number is (715) 588-4422.
Gookomis Endaad is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1669970729. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(715) 388-0762.
Primary Care Clinic Profile
| Full Name | Gookomis Endaad |
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| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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| Location | 3378 N. Schilleman Rd, Lac Du Flambeau, Wisconsin |
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| Authorized Official Name and Position | Pamela Ahlborn (COMPLIANCE & CONTRACT COORDINATOR) |
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| Authorized Official Contact | 7155884422 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gookomis Endaad
Po Box 815
Lac Du Flambeau
WI 54538-0815
Ph: (715) 588-4422 | Gookomis Endaad
3378 N. Schilleman Rd
Lac Du Flambeau
WI 54538-0815
Ph: (715) 388-0762 |
NPI Details:
| NPI Number | 1669970729 |
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| Provider Enumeration Date | 01/24/2018 |
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| Last Update Date | 09/13/2018 |
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Medical Identifiers
Medical identifiers for Gookomis Endaad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669970729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Wisconsin) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 3100 (Wisconsin) | Secondary |
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