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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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