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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

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

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

NPI Number 1659959450
LBN Legal business name LAKESHORE COMMUNITY HEALTH CARE, INC.
Authorized official MARTIN SCHALLER - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/01/2021
Last updated 04/01/2021 - About 5 years ago
Identifiers n/a
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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