Organization
ONEIDA NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DANFORTH RN,BSN (COMPREHENSIVE HEALTH OPERATIONS MAN)
(920) 869-4807
Entity
Organization
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32956500
—
WI
Enumeration date
10/07/2005
Last updated
12/03/2020
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