FOREST COUNTY POTAWATOMI COMMUNITY

Federally Qualified Health Center (FQHC) · CRANDON, WI

Organization Active NPI 1285741306

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Federally Qualified Health Center (FQHC)261QF0400XWI
Dietary Manager132700000X
Nutritionist133N00000X
Pediatrics Physician208000000X
Community Health Clinic/Center261QC1500X
Dental Clinic/Center261QD0000X
Hearing and Speech Clinic/Center261QH0700X
Podiatric Clinic/Center261QP1100X
Radiology Clinic/Center261QR0200X
Mammography Clinic/Center261QR0206X
Clinical Medical Laboratory291U00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy332800000X
Durable Medical Equipment & Medical Supplies332B00000X
Eyewear Supplier332H00000X
Hearing Aid Equipment332S00000X

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.