THE LAKES COMMUNITY HEALTH CENTER INC NPI 1033569124

NPI Information

NPI: 1033569124
Provider Name: THE LAKES COMMUNITY HEALTH CENTER, INC

Doing Business As: NORTHLAKES COMMUNITY CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
730 SWEDE AVE
TURTLE LAKE, WI
ZIP 54889
Phone: (715) 986-2599
Get Directions

THE LAKES COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Turtle Lake, WI. THE LAKES COMMUNITY HEALTH CENTER, INC NPI is 1033569124. The provider is registered as an organization entity type.
The provider Is Doing Business As Northlakes Community Clinic.

The provider's business location address is:

730 SWEDE AVE
TURTLE LAKE, WI
ZIP 54889
Phone: (715) 986-2599
Fax: (715) 986-2521

The provider's authorized official is Reba Rice .
The authorized official title is Ceo and has the following contact phone number (715) 372-5001.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 8/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1811178825	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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