The Lakes Community Health Center, Inc | |
9675 E Elm Rd Poplar WI 54864-9102 | |
(888) 834-4551 | |
Not Available |
Full Name | The Lakes Community Health Center, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 9675 E Elm Rd, Poplar, 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 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (888) 834-4551 | The Lakes Community Health Center, Inc 9675 E Elm Rd Poplar WI 54864-9102 Ph: (888) 834-4551 |
NPI Number | 1306618111 |
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Provider Enumeration Date | 10/25/2023 |
Last Update Date | 10/25/2023 |
Identifier | Type | State | Issuer |
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1306618111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |