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Organization

HO CHUNK NATION

Active
Other names
HO CHUNK NATION d/b/a House of Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
LIZ MARIE LUND (PROVIDER NETWORK MANAGER)
(715) 284-9851
Entity
Organization

Contact information

Practice address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 356-7122
Mailing address
S2845 WHITE EAGLE RD, BARABOO, WI 53913-9064
(608) 355-1240
(608) 355-5166

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1413
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100075017
WI
05
32957200
WI
Enumeration date
12/27/2006
Last updated
01/06/2026
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