Lac Courte Oreilles Governing
Federally Qualified Health Center (FQHC)
9940 N County Hwy K, Hayward
Wisconsin, 54843-2186
715-638-5169 Lac Courte Oreilles Governing is a Federally Qualified Health Center (FQHC) in Hayward, Wisconsin. This organization is also known as sub part of Lac Courte Oreilles Governing. It is located at 9940 N County Hwy K, Hayward and it's customer support contact number is 715-638-5169. The authorized person of Lac Courte Oreilles Governing is Rae E Baker who is Billing Manager of the pharmacy and his contact number is 715-638-5169. Lac Courte Oreilles Governing accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lac Courte Oreilles Governing is definition to come...
Pharmacy Details:
Lac Courte Oreilles Governing 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: | Lac Courte Oreilles Governing |
| Type: | Federally Qualified Health Center (FQHC) |
| Location: | 9940 N County Hwy K, Hayward,
Wisconsin, 54843-2186 |
| Phone: | 715-638-5169 |
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: | Rae E Baker |
| Position: | Billing Manager |
| Contact Number: | 715-638-5169 |
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: | 1598890378 |
| Parent Organization: | Lac Courte Oreilles Governing |
| NPI Enumeration Date: | 22 Feb, 2007 |
| NPI Last Update On: | 20 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lac Courte Oreilles Governing are as mentioned below.
| Specialization | License Number | State | Status | |
| Federally Qualified Health Center (FQHC) | | | Primary | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Secondary | |
| Clinic/center | | | Secondary | |
Medicare Enrollment:
Lac Courte Oreilles Governing 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 |
| 7810983517 | O20100930021766 | Lac Courte Oreilles Governing Board | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9940 N County Hwy K,
Hayward, Wisconsin |
| Zip: | 54843-2186 |
| Phone Number: | 715-638-5169 |
Patients can reach Lac Courte Oreilles Governing at
9940 N County Hwy K, Hayward, Wisconsin or can
call on customer care at 715-638-5169.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.