THE LAKES COMMUNITY HEALTH CENTER INC NPI 1679983423

NPI Information

THE LAKES COMMUNITY HEALTH CENTER, INC is a federally qualified health center (fqhc) clinic center in White Lake, WI. THE LAKES COMMUNITY HEALTH CENTER, INC NPI is 1679983423. 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:

524 BISSELL STREET
WHITE LAKE, WI
ZIP 54491
Phone: (715) 882-2353
Fax: (715) 882-2355

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

The CLIA number assigned to this NPI record is 52D0868250 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2014 and was last updated on 10/13/2023.

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:

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