THE LAKES COMMUNITY HEALTH CENTER, INC; NPI #1174247688

Contact Information

THE LAKES COMMUNITY HEALTH CENTER, INC

1150 6TH AVE
CUMBERLAND, WI 54829-9103

Phone: 715-822-1000
Fax: 715-822-1001
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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

NPI # 1174247688

LBN Legal business name THE LAKES COMMUNITY HEALTH CENTER, INC

Authorized official REBECCA RICE - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/28/2022

Last updated 10/12/2023 - About 3 years ago

Identifiers

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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