Menominee Indian Tribe of Wisconsin
NPI 1124291802 · Mental Health Clinic/Center (Including Community Mental Health Center) · Keshena, WI
Menominee Indian Tribe of Wisconsin is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Keshena, WI (NPI 1124291802).
Provider details
- NPI number
- 1124291802
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Waukau, Health Administrator(715) 799-3361
- License
- 1588 (WI)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 1588 (WI)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mtc Mental Health Services
Registry dates
- Enumerated
- 2008-04-02
- Last updated
- 2008-04-02
Frequently asked questions
- What is Menominee Indian Tribe of Wisconsin's NPI number?
- Menominee Indian Tribe of Wisconsin's National Provider Identifier (NPI) is 1124291802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Menominee Indian Tribe of Wisconsin?
- Menominee Indian Tribe of Wisconsin is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Menominee Indian Tribe of Wisconsin located?
- Menominee Indian Tribe of Wisconsin's practice location on file with NPPES is W3275 Wolf River Road, Keshena, WI 54135.
- What is Menominee Indian Tribe of Wisconsin's phone number?
- The practice phone number listed in the NPPES registry for Menominee Indian Tribe of Wisconsin is (715) 799-3361.
- Who is the authorized official for Menominee Indian Tribe of Wisconsin?
- The authorized official listed on Menominee Indian Tribe of Wisconsin's NPPES record is Jerry Waukau, Health Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Menominee Indian Tribe of Wisconsin's NPI active?
- Yes — Menominee Indian Tribe of Wisconsin's NPI (1124291802) is active in the NPPES registry as of the last update on 2008-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.