Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Other names
NorthLakes Community Clinic - Hurley
Organization subpart
No
Provider details
NPI number
Authorized official
REBA RICE (CEO)
(715) 372-5001
Entity
Organization
Contact information
Practice address
115 5TH AVE N, HURLEY, WI 54534-1208
(715) 329-1288
(715) 329-1334
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811178825
—
WI
Enumeration date
06/14/2019
Last updated
07/30/2021
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