PETER CHRISTENSEN HEALTH CENTER – NPI #1134235047
Clinic/Center

PETER CHRISTENSEN HEALTH CENTER is an AHC clinic located in LAC DU FLAMBEAU, WI. NPPES has assigned the NPI number 1134235047 to PETER CHRISTENSEN HEALTH CENTER on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PETER CHRISTENSEN HEALTH CENTER” is a dba name, the actual legal business name for this organization is LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 13 years ago on Sep 03, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER CHRISTENSEN HEALTH CENTER below.

NPI Profile for
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS

NPI Number
1134235047
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Doing Business As (dba): PETER CHRISTENSEN HEALTH CENTER
Primary location
129 OLD ABE RD
LAC DU FLAMBEAU, WI 54538-9386
Phone: (715) 588-3371 Fax: (715) 588-2031
Mailing address
Same as primary location
Organization Subpart
Yes - PETER CHRISTENSEN HEALTH CENTER is subpart of another organization.
Authorized Official
RANDY SAMUELSON
ADMINISTRATOR
Phone: (715) 588-3371
Updated
Identifiers

Identifiers for PETER CHRISTENSEN HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI32956800
MEDICAIDWI41854400
MEDICAIDWI44004700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.