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Contact Information

THE LAKES COMMUNITY HEALTH CENTER, INC
820 ARBUTUS AVE
OCONTO, WI54153-2004
 Phone: 920-516-7107
 Fax: 920-835-2919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for THE LAKES COMMUNITY HEALTH CENTER, INC

NPI # 1073956223
LBN Legal business name THE LAKES COMMUNITY HEALTH CENTER, INC
Authorized official REBA RICE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2013
Last updated 08/05/2021 - About 5 years ago
Identifiers
WI License # 4757-800
WI Medicaid 1811178825
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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