Stockbridge Munsee Community in Bowler - Federally Qualified Health Center (fqhc)
Stockbridge Munsee Community - NPI 1629070180
Stockbridge Munsee Community is a Federally Qualified Health Center (fqhc) in Bowler, Wisconsin. Stockbridge Munsee Community practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Stockbridge Munsee Community is 1629070180. The last update date is 2013-11-27.
Stockbridge Munsee Community's current location address is P.o. Box 70, Bowler, Wisconsin. You can contact this provider via phone number 7157934144 and fax number 7157935028. The mailing address for Stockbridge Munsee Community is P.o. Box 70, Bowler, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stockbridge Munsee Community |
|---|---|
| Address | P.o. Box 70, Bowler, Wisconsin |
| Phone Number | 7157934144 |
| Fax Number | 7157935028 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TRIBAL CHA |
|---|---|
| Authorized Official Name | Miller A. Wallace |
| Telephone Number | 7157934111 |
NPI Number Detail
| NPI Number | 1629070180 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2013-11-27 |
Provider Mailing Address Detail
| Address | P.o. Box 70 |
|---|---|
| City | Bowler |
| State | Wisconsin (WI) |
| Post Code | 54416 |
| Phone Number | 7157934144 |
| Fax Number | 7157935028 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32955900 | WI | -- | |
| 41730300 | WI | -- | |
| 44008700 | WI | -- | |
| 39114544+040 | WI | BLUE CROSS BLUE SHIELD | |
| 42125400 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stockbridge Munsee Community by the Centers for Medicare & Medicaid Services?
The Stockbridge Munsee Community has been issued the NPI (National Provider Identifier) 1629070180 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Stockbridge Munsee Community is physically located?
The Stockbridge Munsee Community is physically situated at the following address: P.O. Box 70, Bowler, WI, 54416.
What is the Stockbridge Munsee Community's specialty and taxonomy code?
The Stockbridge Munsee Community's specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
When did Stockbridge Munsee Community receive its 1629070180 assignment?
The Stockbridge Munsee Community was assigned its 1629070180 on 2005-08-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Stockbridge Munsee Community's details last updated?
The information pertaining to the Stockbridge Munsee Community, including its address, specialty, and other details, was most recently updated on 2013-11-27.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY