FOREST COUNTY POTAWATOMI COMMUNITY
FOREST COUNTY POTAWATOMI COMMUNITY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1285741306, based in Crandon, WI. The organization lists 15 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 8201 MISH KO SWEN DRIVE, Crandon, WI 54520. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part A Provider - Federally Qualified Health Center (fqhc)
- PAC ID
- 3375454689
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Wisconsin | O20030908000029 | Part A Provider - Federally Qualified Health Center (fqhc) |
| Wisconsin | O20040228000204 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part A Provider - Federally Qualified Health Center (fqhc). There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | — | WI | primary |
| 132700000X | Dietary Manager | — | — | |
| 133N00000X | Nutritionist | — | — | |
| 208000000X | Pediatrics Physician | — | — | |
| 261QC1500X | Community Health Clinic/Center Community Health | — | — | |
| 261QD0000X | Dental Clinic/Center Dental | — | — | |
| 261QH0700X | Hearing and Speech Clinic/Center Hearing and Speech | — | — | |
| 261QP1100X | Podiatric Clinic/Center Podiatric | — | — | |
| 261QR0200X | Radiology Clinic/Center Radiology | — | — | |
| 261QR0206X | Mammography Clinic/Center Radiology, Mammography | — | — | |
| 291U00000X | Clinical Medical Laboratory | — | — | |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 332H00000X | Eyewear Supplier | — | — | |
| 332S00000X | Hearing Aid Equipment | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1285741306 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 24, 2006 |
| Last updated | Dec 9, 2020 |
| Status | Active |
| Practice address |
8201 MISH KO SWEN DRIVE Crandon, WI 54520 (715) 478-4300 Fax (715) 478-4300 |
| Mailing address |
PO BOX 396 Crandon, WI 54520 |
| Other identifiers |
391235059016
· Other (WI) 41752300 · Other (WI) 42182600 · Other (WI) 32956600 · Medicaid (WI) 42182600 · Other (WI) DA0385 · Other (WI) 42182600 · Medicaid (WI) 44006100 · Other (WI) 44006100 · Medicaid (WI) 41752300 · Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 7 | 4 | 1 | 3 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 5 | 4 | 2 | 3 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.