Organization
GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Active
Organization
GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SCHULNER (PROVIDER ENROLLMENT)
(414) 383-5103
Entity
Organization
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 649-6711
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 389-3881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093488131
CHAMPUS
WI
05
—
32957100
—
WI
Enumeration date
05/25/2006
Last updated
08/26/2025
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