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Organization

LAKESHORE COMMUNITY HEALTH CARE, INC.

Active
Parent organization
LAKESHORE COMMUNITY HEALTH CARE, INC
Other names
Community Clinics of Manitowoc County
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKESHORE COMMUNITY HEALTH CARE, INC
Authorized official
MICHELE M SCHMITT (PROGRAM DIRECTOR)
(920) 686-2333
Entity
Organization

Contact information

Practice address
601 BUFFALO ST, MANITOWOC, WI 54220-6817
(920) 686-2333
(920) 783-6392
Mailing address
PO BOX 959, SHEBOYGAN, WI 53082-0959
(920) 783-6633
(920) 783-6392

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/01/2012
Last updated
10/03/2014
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