Lac Du Flambeau Band of Lake Superior Chippewa Indians
NPI 1134235047 · Federally Qualified Health Center (FQHC) · Lac Du Flambeau, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lac Du Flambeau Band of Lake Superior Chippewa Indians is a Federally Qualified Health Center (FQHC) organization in Lac Du Flambeau, WI (NPI 1134235047).
Provider details
- NPI number
- 1134235047
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Lac Du Flambeau Band of Lake Superior Chippewa Indians
- Organization subpart
- Yes
- Authorized official
- Randy Samuelson, Administrator(715) 588-3371
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- Peter Christensen Health Center
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2013-09-03
Frequently asked questions
- What is Lac Du Flambeau Band of Lake Superior Chippewa Indians's NPI number?
- Lac Du Flambeau Band of Lake Superior Chippewa Indians's National Provider Identifier (NPI) is 1134235047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lac Du Flambeau Band of Lake Superior Chippewa Indians?
- Lac Du Flambeau Band of Lake Superior Chippewa Indians is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Lac Du Flambeau Band of Lake Superior Chippewa Indians located?
- Lac Du Flambeau Band of Lake Superior Chippewa Indians's practice location on file with NPPES is 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386.
- What is Lac Du Flambeau Band of Lake Superior Chippewa Indians's phone number?
- The practice phone number listed in the NPPES registry for Lac Du Flambeau Band of Lake Superior Chippewa Indians is (715) 588-3371.
- Does Lac Du Flambeau Band of Lake Superior Chippewa Indians accept Medicare?
- Lac Du Flambeau Band of Lake Superior Chippewa Indians is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lac Du Flambeau Band of Lake Superior Chippewa Indians?
- The authorized official listed on Lac Du Flambeau Band of Lake Superior Chippewa Indians's NPPES record is Randy Samuelson, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lac Du Flambeau Band of Lake Superior Chippewa Indians's NPI active?
- Yes — Lac Du Flambeau Band of Lake Superior Chippewa Indians's NPI (1134235047) is active in the NPPES registry as of the last update on 2013-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.