| Northlakes Community Clinic | |
|
320 Superior Ave Ste D Washburn WI 54891-9428 | |
| (715) 373-2233 | |
| (715) 373-5530 |
| Full Name | Northlakes Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 320 Superior Ave Ste D, Washburn, Wisconsin |
| Authorized Official Name and Position | Brian Ahlgren (CFO) |
| Authorized Official Contact | 7159343056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlakes Community Clinic 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (715) 934-0710 | Northlakes Community Clinic 320 Superior Ave Ste D Washburn WI 54891-9428 Ph: (715) 373-2233 |
| NPI Number | 1891242111 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 07/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891242111 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kreuser Clinic S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Superior Ave, Washburn, WI 54891 Phone: 715-373-0128 Fax: 715-373-0135 |