Northlakes Community Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Birchwood, Wisconsin. The current practice location for Northlakes Community Clinic is 108 S Main St, Birchwood, Wisconsin. For appointments, you can reach them via phone at
(715) 354-3369. The mailing address for Northlakes Community Clinic is 15954 Rivers Edge Dr Ste 304, Hayward, Wisconsin and phone number is (715) 634-2541.
Northlakes Community Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1750878542. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(715) 354-3369.
Primary Care Clinic Profile
| Full Name | Northlakes Community Clinic |
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| Speciality | Clinic/Center |
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| Location | 108 S Main St, Birchwood, Wisconsin |
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| Authorized Official Name and Position | Reba Rice (CEO) |
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| Authorized Official Contact | 7153725001 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Northlakes Community Clinic
15954 Rivers Edge Dr Ste 304
Hayward
WI 54843-7894
Ph: (715) 634-2541 | Northlakes Community Clinic
108 S Main St
Birchwood
WI 54817
Ph: (715) 354-3369 |
NPI Details:
| NPI Number | 1750878542 |
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| Provider Enumeration Date | 04/17/2018 |
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| Last Update Date | 02/05/2019 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0840366654 |
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| Medicare Enrollment ID | O20220425000840 |
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Medical Identifiers
Medical identifiers for Northlakes Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750878542 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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