FQHC — tribal (638) · WI

St. Croix Tribal Health Clinic

Name: 340B covered-entity record — St. Croix Tribal Health Clinic (FQHC638181)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

0Registered locations
3Associated locations
0Contract pharmacies
0With no end date
1 July 2022In 340B since

Finances, as filed

This entity type does not file a Medicare cost report; no finances are recorded.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)

Cite this page

Velarion Records, “St. Croix Tribal Health Clinic” (340B ID FQHC638181), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638181

Participation, as filed

Participating: TRUE
Participation start date: 1 July 2022
Certification date: 8 February 2026
Record last edited: 8 February 2026

Identifiers

340B ID: FQHC638181
Entity type as filed: FQHC638
NPI: 1487875787 (WI), 1821810565 (WI)

4404 State Road 70, Webster WI 54893

Associated locations

Organization	Address	Where
St. Croix Tribal Health Clinic	4404 State Road 70	Webster WI 54893
St Croix Chippewa Indians of Wisconsin DBA Siren Pharmacy	24106 State Rd 35	Siren WI 54872
St Croix Chippewa Indians of Wisconsin DBA St Croix Tribal Health Clinic	4404 State Road 70	Webster WI 54893

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.