BAD RIVER HEALTH AND WELLNESS CENTER – NPI #1255682183
Clinic/Center

BAD RIVER HEALTH AND WELLNESS CENTER is an AHC clinic located in ASHLAND, WI. NPPES has assigned the NPI number 1255682183 to BAD RIVER HEALTH AND WELLNESS CENTER on October 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BAD RIVER HEALTH AND WELLNESS CENTER is also known by the name BAD RIVER DENTAL OFFICE. 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)

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 BAD RIVER HEALTH AND WELLNESS CENTER below.

NPI Profile for
BAD RIVER HEALTH AND WELLNESS CENTER

NPI Number
1255682183
Enumeration Date

(more than 13 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
BAD RIVER HEALTH AND WELLNESS CENTER
Other Name: BAD RIVER DENTAL OFFICE
Primary location
53585 NOKOMIS RD
ASHLAND, WI 54806-4272
Phone: (715) 682-7133 Fax: (715) 685-7857
Mailing address
Same as primary location
Organization Subpart
Yes - BAD RIVER HEALTH AND WELLNESS CENTER is subpart of another organization.
Authorized Official
DEBRA TUTOR
CLINIC ADMINISTRATOR
Phone: (715) 682-7133
Updated
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.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

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.