| Ldfhhs Provider Network | |
|
533 Peace Pipe Rd Lac Du Flambeau WI 54538-9123 | |
| (715) 588-1511 | |
| Not Available |
| Full Name | Ldfhhs Provider Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 533 Peace Pipe Rd, Lac Du Flambeau, Wisconsin |
| Authorized Official Name and Position | Anthony J Ernst (HUMAN SERVICES DIRECTOR) |
| Authorized Official Contact | 7155881511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ldfhhs Provider Network 533 Peace Pipe Rd Po Boc 189 Lac Du Flambeau WI 54538-9123 Ph: (715) 588-1511 | Ldfhhs Provider Network 533 Peace Pipe Rd Lac Du Flambeau WI 54538-9123 Ph: (715) 588-1511 |
| NPI Number | 1861885014 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861885014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3071 (Wisconsin) | Primary |