Organization
BAD RIVER HEALTH AND WELLNESS CENTER
Active
Parent organization
BAD RIVER BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Other names
Bad River Dental Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAD RIVER BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Authorized official
MRS. DEBRA ANN TUTOR (CLINIC ADMINISTRATOR)
(715) 682-7133
Entity
Organization
Contact information
Practice address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
(715) 685-7857
Mailing address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
(715) 685-7857
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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