| Lakeshore Community Health Care, Inc. | |
|
819 Kentucky Ave Sheboygan WI 53081-4954 | |
| (920) 783-6633 | |
| (920) 783-6392 |
| Full Name | Lakeshore Community Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 Kentucky Ave, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Martin Schaller (CFO) |
| Authorized Official Contact | 9207836808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Community Health Care, Inc. Po Box 959 Sheboygan WI 53082-0959 Ph: (920) 783-6633 | Lakeshore Community Health Care, Inc. 819 Kentucky Ave Sheboygan WI 53081-4954 Ph: (920) 783-6633 |
| NPI Number | 1659959450 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Medicare PECOS PAC ID | 3173773124 |
|---|---|
| Medicare Enrollment ID | O20210519002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659959450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marsho Family Medical Group, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-451-3214 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Saemann Avenue, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Sheboygan Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 S. 8th Street, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Health Care Central, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 | |
Prevea Sheboygan Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1621 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-4419 | |
Prevea Sheboygan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-803-1598 |