THE LAKES COMMUNITY HEALTH CENTER INC NPI 1144298787

NPI Information

  • NPI: 1144298787
  • Provider Name: THE LAKES COMMUNITY HEALTH CENTER, INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: NORTHLAKES COMMUNITY CLINIC
  • Address: 11128 N STATE ROAD 77
    HAYWARD, WI
    ZIP 54843
  • Phone: (715) 634-2541

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NPI Details

THE LAKES COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in Hayward, WI. THE LAKES COMMUNITY HEALTH CENTER, INC NPI is 1144298787. 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:

11128 N STATE ROAD 77
HAYWARD, WI
ZIP 54843-332
Phone: (715) 634-2541
Fax: (715) 634-5740

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 3/9/2006 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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
11811178825MEDICAIDWISCONSIN

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: 3/30/2025

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