Organization
LAKESHORE COMMUNITY HEALTH CARE, INC.
Active
Organization
LAKESHORE COMMUNITY HEALTH CARE, INC.
Active
Parent organization
LAKESHORE COMMUNITY HEALTH CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HEALTH CARE, INC.
Authorized official
MARTIN SCHALLER (CFO)
(920) 783-6808
Entity
Organization
Contact information
Practice address
819 KENTUCKY AVE, SHEBOYGAN, WI 53081-4954
(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
04/01/2021
Last updated
04/01/2021
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