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HO CHUNK NATION

Medical Equipment Supplier Yellow Pages

Baraboo, Wisconsin

Provider NPI: 1972725240

Organization Information:
Organization Name:  HO CHUNK NATION


Practice Location:
S2845 WHITE EAGLE RD  BARABOO, WI 53913 US
Tel: 608-355-5177  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
N333600000XSuppliers
Pharmacy
Y332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
WI8332-42

Other Provider Identifiers:

IssuerNumberStateType
33246800WI05
PK210907201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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