National Provider Identifier Database

LAKESHORE COMMUNITY HEALTH CARE INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

LAKESHORE COMMUNITY HEALTH CARE, INC
908 W WASHINGTON ST
WEST BEND, WI53095-2430
Phone: 920-783-6633
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for LAKESHORE COMMUNITY HEALTH CARE, INC

NPI Number 1184358004
Legal business name
LBN
LAKESHORE COMMUNITY HEALTH CARE, INC
Authorized official CALEB JENSEMA - (CFO)
Entity Organization
Organization subpart No
Enumeration date 07/15/2022
Last updated 07/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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