Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Other names
NorthLakes Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
REBA RICE (CEO)
(715) 372-5001
Entity
Organization
Contact information
Practice address
7665 US HWY 2, IRON RIVER, WI 54847-4690
(715) 372-5001
(715) 372-5067
Mailing address
15954 RIVERS EDGE DR STE 304, HAYWARD, WI 54843-7894
(715) 634-2541
(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
—
32959400
—
WI
Enumeration date
11/19/2007
Last updated
02/05/2019
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