| The Lakes Community Health Center, Inc | |
|
600 W Shell Creek Rd Minong WI 54859-9302 | |
| (715) 466-2201 | |
| (715) 466-2205 |
| Full Name | The Lakes Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 600 W Shell Creek Rd, Minong, Wisconsin |
| Authorized Official Name and Position | Reba Rice (CEO) |
| Authorized Official Contact | 7153725001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lakes Community Health Center, Inc 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (715) 934-0710 | The Lakes Community Health Center, Inc 600 W Shell Creek Rd Minong WI 54859-9302 Ph: (715) 466-2201 |
| NPI Number | 1083961163 |
|---|---|
| Provider Enumeration Date | 08/08/2012 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083961163 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 26972 (Wisconsin) | Primary |