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.
819 KENTUCKY AVE
SHEBOYGAN, WI53081-4954
Phone: 920-783-6633
Fax: 920-783-6392
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for LAKESHORE COMMUNITY HEALTH CARE, INC.

NPI Number 1659959450
Legal business name
LBN
LAKESHORE COMMUNITY HEALTH CARE, INC.
Authorized official MARTIN SCHALLER - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 04/01/2021
Last updated 04/01/2021 - About 5 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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