| The Lakes Community Health Center, Inc | |
|
9675 E Elm Rd Poplar WI 54864-9102 | |
| (888) 834-4551 | |
| Not Available |
| Full Name | The Lakes Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9675 E Elm Rd, Poplar, 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: (888) 834-4551 | The Lakes Community Health Center, Inc 9675 E Elm Rd Poplar WI 54864-9102 Ph: (888) 834-4551 |
| NPI Number | 1306618111 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306618111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |