| Ho-chunk Health Care Center | |
|
N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 | |
| (715) 284-9851 | |
| (715) 284-5150 |
| Full Name | Ho-chunk Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | N6520 Lumberjack Guy Rd, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Liz M Lund (PROVIDER NETWORK MANAGER) |
| Authorized Official Contact | 7152849851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ho-chunk Health Care Center N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 Ph: (715) 284-9851 | Ho-chunk Health Care Center N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 Ph: (715) 284-9851 |
| NPI Number | 1407911795 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 03/23/2018 |
| Medicare PECOS PAC ID | 5496709867 |
|---|---|
| Medicare Enrollment ID | O20050309000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407911795 | NPI | - | NPPES |
| 32955400 | Medicaid | WI |
| Provider Name | Amy J Delong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932278090 PECOS PAC ID: 8426028390 Enrollment ID: I20040728000833 |
| Provider Name | Thomas E Zirkel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619935269 PECOS PAC ID: 9830111574 Enrollment ID: I20051222000320 |
| Provider Name | Mary Ellen Sabourin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083670277 PECOS PAC ID: 6507888153 Enrollment ID: I20051222000481 |
| Provider Name | Eric D Hamburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922064518 PECOS PAC ID: 5395767958 Enrollment ID: I20051222000578 |
| Provider Name | Kathryn E Braaten |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346454428 PECOS PAC ID: 6002967825 Enrollment ID: I20090707000482 |
| Provider Name | Kristina J Roou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770818213 PECOS PAC ID: 8921147158 Enrollment ID: I20091202000076 |
| Provider Name | Kevin M Gilmartin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588643803 PECOS PAC ID: 1951442441 Enrollment ID: I20100106000232 |
| Provider Name | Christine R Seguin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841386232 PECOS PAC ID: 5890965263 Enrollment ID: I20110823000720 |
| Provider Name | Sue M Christopherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841386133 PECOS PAC ID: 3870763543 Enrollment ID: I20110907001377 |
| Provider Name | Lisa M Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881988244 PECOS PAC ID: 1658541339 Enrollment ID: I20110907001434 |
| Provider Name | Lori M Haun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164517074 PECOS PAC ID: 8628241726 Enrollment ID: I20111107000346 |
| Provider Name | Heather C Jerzak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124455183 PECOS PAC ID: 5294962379 Enrollment ID: I20131217000509 |
| Provider Name | Rachel M Lundberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356704787 PECOS PAC ID: 5991091050 Enrollment ID: I20160915002410 |
| Provider Name | Kyla N Ripp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265977425 PECOS PAC ID: 7012291966 Enrollment ID: I20170221002404 |
| Provider Name | Ashley V Jakel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194272419 PECOS PAC ID: 3971887761 Enrollment ID: I20170222001368 |
| Provider Name | Neil F Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346660685 PECOS PAC ID: 5597078717 Enrollment ID: I20171018003320 |
| Provider Name | Ruth A Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467770594 PECOS PAC ID: 9133474364 Enrollment ID: I20180612001934 |
| Provider Name | Rachael Ann Dozer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356725162 PECOS PAC ID: 4789927088 Enrollment ID: I20190529001761 |
| Provider Name | Katie Peper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463365 PECOS PAC ID: 0143654640 Enrollment ID: I20191216001393 |
| Provider Name | Alex Hunter Kivimaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467957191 PECOS PAC ID: 3971994450 Enrollment ID: I20211216000890 |
| Provider Name | Laura Pattison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922295963 PECOS PAC ID: 6507956851 Enrollment ID: I20221006001704 |
| Provider Name | Jessica Bette Weeden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194290163 PECOS PAC ID: 3971973033 Enrollment ID: I20230105002404 |
| Provider Name | Jennifer Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801270418 PECOS PAC ID: 7416328075 Enrollment ID: I20230119000868 |
| Provider Name | Alex M Richeson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114623337 PECOS PAC ID: 8729447925 Enrollment ID: I20230706002281 |
| Provider Name | Tracy M Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700222395 PECOS PAC ID: 1355785148 Enrollment ID: I20240220003831 |
| Provider Name | Jennifer D Powers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780016766 PECOS PAC ID: 5597109306 Enrollment ID: I20240220004402 |
| Provider Name | Jennifer Lynn Hastings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538794284 PECOS PAC ID: 1456795103 Enrollment ID: I20240221001277 |
Art Of Optometry Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Main St, Black River Falls, WI 54615 Phone: 715-284-3111 Fax: 800-380-1741 | |
Black River Falls Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N6571 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-670-0400 | |
Footprints In Time Midwifery Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Main St, Black River Falls, WI 54615 Phone: 715-284-2003 Fax: 844-285-4399 | |
Black River Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 | |
Krohn Clinic Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 Fax: 715-284-0475 | |
Ho-chunk Community Health Care Nursing Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5051 |