| The Lakes Community Health Center, Inc | |
|
820 Arbutus Ave Oconto WI 54153-2004 | |
| (920) 516-7107 | |
| (920) 835-2919 |
| Full Name | The Lakes Community Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 820 Arbutus Ave, Oconto, Wisconsin |
| Authorized Official Name and Position | Reba Rice (CEO) |
| Authorized Official Contact | 7153725001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 820 Arbutus Ave Oconto WI 54153-2004 Ph: (920) 516-7107 |
| NPI Number | 1073956223 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 08/05/2021 |
| Medicare PECOS PAC ID | 0840366654 |
|---|---|
| Medicare Enrollment ID | O20190226000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073956223 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4757-800 (Wisconsin) | Primary |
Oconto County Health And Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Park Ave, Oconto, WI 54153 Phone: 920-834-7000 | |
Bellin Health Oconto Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 | |
Oconto Hospital & Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 |