Organization
LAKESHORE COMMUNITY HEALTH CARE, INC
Active
Parent organization
LAKESHORE COMMUNITY HEALTH CARE, INC
Other names
Sheboygan Area Community Clinics, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HEALTH CARE, INC
Authorized official
DAVID HUGHES (CHIEF FINANCIAL OFFICER)
(920) 783-6633
Entity
Organization
Contact information
Practice address
1931 N 8TH ST, SHEBOYGAN, WI 53081-2740
(920) 783-6633
(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
10/04/2013
Last updated
09/30/2014
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