Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Other names
Northlakes Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REBA RICE (CEO)
(715) 372-5001
Entity
Organization
Contact information
Practice address
730 SWEDE AVE, TURTLE LAKE, WI 54889
(715) 986-2599
(715) 986-2521
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 934-0710
(715) 598-4881
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811178825
—
WI
Enumeration date
06/20/2016
Last updated
08/05/2021
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