ST. CROIX CHIPPEWA INDIANS OF WISCONSIN
NPI 1831170091
Clinic/Center - Federally Qualified Health Center (FQHC) in Webster, WI

NPI Status: Active since November 07, 2005

Contact Information

4404 STATE ROAD 70
WEBSTER, WI
ZIP 54893
Phone: (715) 349-8554
Fax: (715) 349-8529

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About ST. CROIX CHIPPEWA INDIANS OF WISCONSIN

This page provides the complete NPI Profile along with additional information for St. Croix Chippewa Indians Of Wisconsin, a primary care provider established in Webster, Wisconsin operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1831170091 assigned on November 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's other name is St. Croix Chippewa Indians Of Wisconsin. The authorized official of this NPI record is Amber Heinz (Health Director)

NPI
1831170091
Provider Legal Name
ST. CROIX TRIBAL COUNCIL
Other Organization Name
ST. CROIX CHIPPEWA INDIANS OF WISCONSIN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4404 STATE ROAD 70 WEBSTER, WI 54893
Location Phone
(715) 349-8554
Location Fax
(715) 349-8529
Mailing Address
4404 STATE ROAD 70 WEBSTER, WI 54893
Mailing Phone
(715) 349-8554
Mailing Fax
(715) 349-8529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2005
Last Update Date
10-15-2024
Code Navigator

A primary care provider (PCP) like St. Croix Chippewa Indians Of Wisconsin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Select $1,500 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,100 HDHP - EPO
  • Select $5,000 - 40% - EPO
  • Select $6,200 HDHP - EPO
  • Select $7,500 - EPO
  • Select $9,200 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,300 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER HEINZ

Authorized Official Title
HEALTH DIRECTOR
Authorized Official Phone
(715) 349-8554

Reviews for ST. CROIX CHIPPEWA INDIANS OF WISCONSIN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831170091
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861270018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 2 + 7 + 0 + 0 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1831170091 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750349239 REY R PALOP M.D.
Individual
Family Medicine4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1861414039DR. TIN-CHEUNG HO MD
Individual
Family Medicine4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8557
1164515367MS. JENNIFER LYNNE BALDINI RD,CD
Individual
Dietitian, Registered4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1700979630MS. PAMELA JO NICHOLS R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1225121288MRS. PATTI MATAXEN MSN,RN
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1811080740MRS. DAWN RENEE DURAND R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1871676528 KATHRYN ALICE SCHNEIDER CADC III
Individual
Counselor (Addiction (Substance Use Disorder))4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 635-6519
1487723763 SHELLEY LYNN HAMMES CADC III
Individual
Counselor (Addiction (Substance Use Disorder))4404 STATE ROAD 70
WEBSTER, WI 54893
(877) 455-1901
1174663363MR. DAVID EDWARD DETIENNE RPH
Individual
Pharmacist4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1821138066MRS. KATHLEEN ANN DITTMAR LPN
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1225179427MRS. ERICA ANN DORIOTT LPN
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1053522003DR. JODINE CATHERINE ANDERSON D.D.S.
Individual
Dentist (General Practice)4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1245411107 JULIA A STEINER R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1760644801DR. TIMOTHY WILLIAM JOHNSON D.D.S.
Individual
Dentist4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1073778858MR. JOSEPH WILIAM TEMBREULL DDS
Individual
Dentist4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1033365747 MELODY LYNN BASSETT R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1972749299 MELISSA K GRIMSBY R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1861710691 LISA R PERRY RN
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1730493149MRS. KATIE ARLENE BELISLE L.P.N.
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1033414693MR. JOSHUA COSMO ROBINSON R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831170091, enumerated in the NPI registry as an "organization" on November 07, 2005

The provider is located at 4404 State Road 70 Webster, Wi 54893 and the phone number is (715) 349-8554

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Security. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.