Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Parent organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Other names
NorthLakes Community Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LAKES COMMUNITY HEALTH CENTER, INC
Authorized official
REBECCA RICE (CEO)
(715) 372-0323
Entity
Organization
Contact information
Practice address
1435 CLEVELAND AVE, MARINETTE, WI 54143-3918
(715) 504-6419
(715) 504-6420
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
07/05/2022
Last updated
10/12/2023
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