National Provider Identifier Database

THE LAKES COMMUNITY HEALTH CENTER 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

THE LAKES COMMUNITY HEALTH CENTER, INC
15397 STATE HIGHWAY 32
LAKEWOOD, WI54138-9702
Phone: 715-276-6321
Fax: 715-276-1428
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

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

NPI Number 1699778233
Legal business name
LBN
THE LAKES COMMUNITY HEALTH CENTER, INC
Authorized official REBA RICE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/27/2005
Last updated 03/19/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 4757-800
  • WI Medicaid: 3295500

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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