The Lakes Community Health Center, Inc | |
15397 State Highway 32 Lakewood WI 54138-9702 | |
(715) 276-6321 | |
(715) 276-1428 |
Full Name | The Lakes Community Health Center, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 15397 State Highway 32, Lakewood, 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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The Lakes Community Health Center, Inc Po Box 179 Lakewood WI 54138-0179 Ph: (715) 276-6321 | The Lakes Community Health Center, Inc 15397 State Highway 32 Lakewood WI 54138-9702 Ph: (715) 276-6321 |
NPI Number | 1699778233 |
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Provider Enumeration Date | 05/27/2005 |
Last Update Date | 03/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699778233 | NPI | - | NPPES |
3295500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4757-800 (Wisconsin) | Primary |
Assure Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138 Phone: 715-850-0700 Fax: 866-484-2182 | |
Bellin Health Lakewood Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15481 Commercial Rd Ste E, Lakewood, WI 54138 Phone: 715-276-9048 Fax: 920-445-7289 |