| The Lakes Community Health Center, Inc | |
|
1150 6th Ave Cumberland WI 54829-9103 | |
| (715) 822-1000 | |
| (715) 822-1001 |
| Full Name | The Lakes Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 6th Ave, Cumberland, Wisconsin |
| Authorized Official Name and Position | Rebecca Rice (CEO) |
| Authorized Official Contact | 7153725001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lakes Community Health Center, Inc 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (715) 934-0710 | The Lakes Community Health Center, Inc 1150 6th Ave Cumberland WI 54829-9103 Ph: (715) 822-1000 |
| NPI Number | 1174247688 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 0840366654 |
|---|---|
| Medicare Enrollment ID | O20230201000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174247688 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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