Organization
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Active
Other names
Gookomis Endaad
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA AHLBORN (COMPLIANCE & CONTRACT COORDINATOR)
(715) 588-4422
Entity
Organization
Contact information
Practice address
3378 N. SCHILLEMAN RD, LAC DU FLAMBEAU, WI 54538-0815
(715) 388-0762
(715) 588-1889
Mailing address
PO BOX 815, LAC DU FLAMBEAU, WI 54538-0815
(715) 588-4422
(715) 588-1889
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
3100
WI
Other
Enumeration date
01/24/2018
Last updated
09/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us