# BAD RIVER HEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013093285
- **Authorized official:** MARY BIGBOY (CLINIC MANAGER)
- **Authorized official phone:** (715) 682-7133

## Contact information

- **Practice address:** 1 MAPLE STREET, ODANAH, WI 54861
- **Practice address phone:** (715) 682-7133
- **Mailing address:** N87W16462 JACOBSON DR, MENOMONEE FALLS, WI 53051-2833
- **Mailing address phone:** (262) 255-1040
- **Mailing address fax:** (262) 255-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020