Northlakes Community Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Minong, Wisconsin. The current practice location for Northlakes Community Clinic is 600 W Shell Creek Rd, Minong, Wisconsin. For appointments, you can reach them via phone at
(715) 466-2201. The mailing address for Northlakes Community Clinic is 15735 W Us Highway 63, Hayward, Wisconsin and phone number is (715) 934-0710.
Northlakes Community Clinic is licensed to practice in Wisconsin (license number 26972). The clinic also participates in the medicare program and its
NPI number is 1083961163. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(715) 466-2201.
Primary Care Clinic Profile
| Full Name | Northlakes Community Clinic |
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| Speciality | Clinic/Center |
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| Location | 600 W Shell Creek Rd, Minong, Wisconsin |
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| Authorized Official Name and Position | Reba Rice (CEO) |
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| Authorized Official Contact | 7153725001 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Northlakes Community Clinic
15735 W Us Highway 63
Hayward
WI 54843-6475
Ph: (715) 934-0710 | Northlakes Community Clinic
600 W Shell Creek Rd
Minong
WI 54859-9302
Ph: (715) 466-2201 |
NPI Details:
| NPI Number | 1083961163 |
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| Provider Enumeration Date | 08/08/2012 |
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| Last Update Date | 08/05/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 7810940244 |
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| Medicare Enrollment ID | O20111024000447 |
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Medical Identifiers
Medical identifiers for Northlakes Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083961163 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 26972 (Wisconsin) | Primary |
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