Organization
HO CHUNK NATION
Active
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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