Organization

Bad River Health Clinic

Clinic/Center in Odanah, WI(View on Map)

Legal Business Name

Bad River Health Clinic

NPI Number

1013093285

NPI Type

Organization

Enumeration Date

10/31/2006

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

N87W16462 JACOBSON DR
1 MAPLE STREET

City

Menomonee Falls
Odanah

State

WI
WI

Postal Code

53051-2833
54861

Country

US
US

Telephone Number

(262) 255-1040
(715) 682-7133

Authorized Official

Name

Mary Bigboy

Title or Position

CLINIC MANAGER

Telephone Number

(715) 682-7133

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address