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
2719 CALUMET AVE
MANITOWOC, WI54220-5546
Phone: 920-686-2333
Fax: 920-686-2334
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for LAKESHORE COMMUNITY HEALTH CARE, INC

NPI Number 1508391020
Legal business name
LBN
LAKESHORE COMMUNITY HEALTH CARE, INC
Authorized official DAVID HUGHES - (CFO)
Entity Organization
Organization subpart No
Enumeration date 04/21/2017
Last updated 04/21/2017 - About 9 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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