| Northlakes Community Clinic | |
|
524 Bissell Street White Lake WI 54491 | |
| (715) 882-2353 | |
| (715) 882-2355 |
| Full Name | Northlakes Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 524 Bissell Street, White Lake, Wisconsin |
| Authorized Official Name and Position | Rebecca Rice (CEO) |
| Authorized Official Contact | 7153725001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlakes Community Clinic 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (715) 934-0710 | Northlakes Community Clinic 524 Bissell Street White Lake WI 54491 Ph: (715) 882-2353 |
| NPI Number | 1679983423 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679983423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Wisconsin) | Primary |