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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 Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

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

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

NPI Number 1699778233
LBN Legal business name THE LAKES COMMUNITY HEALTH CENTER, INC
Authorized official REBA RICE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2005
Last updated 03/19/2019 - About 7 years ago
Identifiers
WI License # 4757-800
WI Medicaid 3295500
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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