Northlakes Community Clinic | |
820 Arbutus Ave Oconto WI 54153-2004 | |
(920) 516-7107 | |
(920) 835-2919 |
Full Name | Northlakes Community Clinic |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 820 Arbutus Ave, Oconto, Wisconsin |
Authorized Official Name and Position | Reba Rice (CEO) |
Authorized Official Contact | 7153725001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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 820 Arbutus Ave Oconto WI 54153-2004 Ph: (920) 516-7107 |
NPI Number | 1073956223 |
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Provider Enumeration Date | 04/08/2013 |
Last Update Date | 08/05/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073956223 | NPI | - | NPPES |
1811178825 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4757-800 (Wisconsin) | Primary |
Oconto County Health And Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 | |
Bellin Health Oconto Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 | |
St Clare Memorial Hospital Oconto Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 1st St, Oconto, WI 54153 Phone: 920-835-1144 Fax: 920-835-1145 | |
Oconto Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 |