| Ho Chunk Nation | |
|
S2845 White Eagle Rd Baraboo WI 53913-9064 | |
| (608) 355-1240 | |
| (608) 356-7122 |
| Full Name | Ho Chunk Nation |
|---|---|
| Speciality | Clinic/Center |
| Location | S2845 White Eagle Rd, Baraboo, 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 Nation S2845 White Eagle Rd Baraboo WI 53913-9064 Ph: (608) 355-1240 | Ho Chunk Nation S2845 White Eagle Rd Baraboo WI 53913-9064 Ph: (608) 355-1240 |
| NPI Number | 1316002694 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 03/26/2018 |
| Medicare PECOS PAC ID | 5496709867 |
|---|---|
| Medicare Enrollment ID | O20141230001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316002694 | NPI | - | NPPES |
| 32957200 | Medicaid | WI |
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