Forest County Potawatomi Community
Federally Qualified Health Center (FQHC)
8201 Mish Ko Swen Drive, Crandon
Wisconsin, 54520-8631
715-478-4300 715-478-4300
Forest County Potawatomi Community is a Federally Qualified Health Center (FQHC) in Crandon, Wisconsin. It is located at 8201 Mish Ko Swen Drive, Crandon and it's customer support contact number is 715-478-4300. The authorized person of Forest County Potawatomi Community is Mr. Ned Daniels who is Tribal Chairman of the pharmacy and his contact number is 715-478-4824. Forest County Potawatomi Community accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Forest County Potawatomi Community is definition to come...
Pharmacy Details:
Forest County Potawatomi Community type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Forest County Potawatomi Community |
| Type: | Federally Qualified Health Center (FQHC) |
| Location: | 8201 Mish Ko Swen Drive, Crandon,
Wisconsin, 54520-8631 |
| Phone: | 715-478-4300 |
| Fax: | 715-478-4300 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Ned Daniels |
| Position: | Tribal Chairman |
| Contact Number: | 715-478-4824 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1285741306 |
| NPI Enumeration Date: | 24 Aug, 2006 |
| NPI Last Update On: | 09 Dec, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Forest County Potawatomi Community are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | Wisconsin | Primary | |
| Dietary Manager | | | Secondary | |
| Nutritionist | | | Secondary | |
| Pediatrics | | | Secondary | |
| Community Health | | | Secondary | |
| Dental | | | Secondary | |
| Hearing and Speech | | | Secondary | |
| Podiatric | | | Secondary | |
| Radiology | | | Secondary | |
| Radiology, Mammography | | | Secondary | |
| Clinical Medical Laboratory | | | Secondary | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Eyewear Supplier (equipment, Not The Service) | | | Secondary | |
| Hearing Aid Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 391235059016 | Other | Wisconsin | Blue Cross Blue Shield |
| 41752300 | Other | Wisconsin | Durable Medical Equipment |
| 42182600 | Other | Wisconsin | Aoda Clinic |
| 32956600 | Medicaid | Wisconsin | |
| 42182600 | Other | Wisconsin | Mental Health |
| DA0385 | Other | Wisconsin | Railroad Medicare |
| 42182600 | Medicaid | Wisconsin | |
| 44006100 | Other | Wisconsin | Prenatal Care |
| 44006100 | Medicaid | Wisconsin | |
| 41752300 | Medicaid | Wisconsin | |
Medicare Enrollment:
Forest County Potawatomi Community is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3375454689 | O20030908000029 | Forest County Potawatomi Community | PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC) |
| 3375454689 | O20040228000204 | Forest County Potawatomi Community | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 3375454689 | O20101021000752 | Forest County Potawatomi Community | DME SUPPLIER - PHYSICIAN - PODIATRY |
Products Available:
Forest County Potawatomi Community has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Oxygen Equipment & Supplies | • Surgical Dressings |
| • Urological Supplies | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 396,
Crandon, Wisconsin |
| Zip: | 54520-0396 |
| Phone Number: | 715-478-4300 |
| Fax Number: | 715-478-4490 |
Patients can reach Forest County Potawatomi Community at
8201 Mish Ko Swen Drive, Crandon, Wisconsin or can
call on customer care at 715-478-4300.
Comments/ Reviews:
Read all the reviews posted for Forest County Potawatomi Community below. You may also share your own experience with Forest County Potawatomi Community. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.