OrganizationActive
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.
NPI 1710222989 · Federally Qualified Health Center (FQHC) · Ashland, WI
Provider details
- NPI number
- 1710222989
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Bad River Band of Lake Superior Tribe of Chippewa Indians Wis.
- Organization subpart
- Yes
- Authorized official
- June Williams, Billing/Prc Manager(715) 682-7133
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
53585 Nokomis Rd
Ashland, WI 54806-4272
Phone: (715) 682-7133
Approximate (ZIP-level) locationGet directions
Mailing address
53585 Nokomis Rd
Ashland, WI 54806-4272
Other names (DBA / former)
- Doing business as
- Bad River Clinic Pharmacy
Registry dates
- Enumerated
- 2012-11-29
- Last updated
- 2024-06-03
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.