| Northlakes Community Clinic | |
|
1435 Cleveland Ave Marinette WI 54143-3918 | |
| (715) 504-6419 | |
| (715) 504-6420 |
| Full Name | Northlakes Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1435 Cleveland Ave, Marinette, Wisconsin |
| Authorized Official Name and Position | Rebecca Rice (CEO) |
| Authorized Official Contact | 7153720323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlakes Community Clinic 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (715) 934-0710 | Northlakes Community Clinic 1435 Cleveland Ave Marinette WI 54143-3918 Ph: (715) 504-6419 |
| NPI Number | 1518690841 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 0840366654 |
|---|---|
| Medicare Enrollment ID | O20221202001528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518690841 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marinette County Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave Suite B, Marinette, WI 54143 Phone: 715-732-7700 Fax: 715-732-7766 | |
Northreach Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Northreach Healthcare Llc, Marinette, WI 54143 Phone: 715-732-2075 Fax: 715-732-2072 | |
Bellin Health Marinette Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2820 Roosevelt Rd, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388 | |
Medexpress Primary Care Wisconsin, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hall Ave, Suite H, Marinette, WI 54143 Phone: 304-225-2500 | |
Northreach Internal Medicine Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2935 Shore Dr, Marinette, WI 54143 Phone: 715-732-9193 Fax: 715-732-9196 | |
Northreach Fast Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2741 Roosevelt Rd, Marinette, WI 54143 Phone: 715-732-1392 | |
Internal Medicine Of Marinette Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3123 Shore Dr, Suite 102, Marinette, WI 54143 Phone: 715-732-2299 Fax: 715-732-2419 |