Organization
LAKESHORE COMMUNITY HEALTH CARE, INC
Active
Parent organization
LAKESHORE COMMUNITY HEALTHCARE, INC
Other names
Sheboygan Area Community Clinics, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HEALTHCARE, INC
Authorized official
MICHELE M SCHMITT (OFFICE ADMINISTRATOR)
(920) 783-6633
Entity
Organization
Contact information
Practice address
510 S. 8TH STREET, SHEBOYGAN, WI 53081-4404
(920) 783-6633
(920) 783-6392
Mailing address
P.O. 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
04/07/2011
Last updated
10/03/2014
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