Organization
THE LAKES COMMUNITY HEALTH CENTER, INC
Active
Other names
NorthLakes Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANA TOCHTERMAN (CEO)
(888) 834-4551
Entity
Organization
Contact information
Practice address
2119 HEIGHTS DR, EAU CLAIRE, WI 54701-6130
(715) 861-7901
(715) 861-7905
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
11/18/2021
Last updated
06/10/2025
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