THE LAKES COMMUNITY HEALTH CENTER, INC (NPI# 1124436159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124436159 |
| Entity Type | Organization |
| Organization Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | NORTHLAKES COMMUNITY CLINIC |
| Practice Address |
15910 W Company Lake Rd Hayward WI 54843-5320 |
| Mailing Address |
15190 West Company Lake Road Hayward WI 54843-6305 |
| Practice Telephone | 7153725001 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | REBA RICE (CEO) |
| Authorized Official Telephone | 7153725001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1811178825 | 05 |
| Other Name | Type Code |
|---|---|
| NorthLakes Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| 1720215684 | The Lakes Community Health Center, Inc | Clinic/Center | 719 Main St East, Ashland, WI 54806-1918 | 2009-06-18 |
| 1699778233 | The Lakes Community Health Center, Inc | Clinic/Center | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2005-05-27 |
| 1437719267 | The Lakes Community Health Center, Inc | Clinic/Center | 210 5th Ave N, Hurley, WI 54534-1209 | 2019-06-14 |
| 1437619202 | The Lakes Community Health Center, Inc | Clinic/Center | 500 Birch St, Park Falls, WI 54552-1415 | 2019-03-20 |
| 1750878542 | The Lakes Community Health Center, Inc | Clinic/Center | 108 S Main St, Birchwood, WI 54817 | 2018-04-17 |
| 1033569124 | The Lakes Community Health Center, Inc | Clinic/Center | 730 Swede Ave, Turtle Lake, WI 54889 | 2016-06-20 |
| 1518306893 | The Lakes Community Health Center, Inc | Pharmacy | 600 W Shell Creek Rd, Minong, WI 54859-9302 | 2013-06-19 |
| Street Address |
15910 W COMPANY LAKE RD |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609198027 | Great Lakes Mental Health Center | Counselor | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2010-02-26 |
| 1558841056 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2018-08-15 |
| 1801337985 | Carly Botten | Dental Hygienist | 15910 W Company Lake Rd, C/o Tricia Krym, Hayward, WI 54843-5320 | 2017-03-09 |
| 1477945426 | Tamara Tucker | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2015-02-28 |
| 1740683531 | Jamie Cook | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-10-07 |
| 1295136422 | Tara Lapcinski | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-09-08 |
| 1558701797 | Janice Wilton | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2013-07-02 |
| 1447699475 | Kelly N Archambeau | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2013-06-24 |
| 1952683609 | Joseph Bradley Granica | Dental Hygienist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2011-09-19 |
| 1205120102 | Laura Channing | Dentist | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790256808 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 25555 Hesperian Blvd Rm 2315, Hayward, CA 94545-2447 | 2018-12-16 |
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1144597477 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 680 W Tennyson Rd Rm 12, Hayward, CA 94544-5236 | 2011-12-01 |
| 1033241633 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-03-09 |
| 1679062087 | The Alliance for Community Wellness | Clinic/Center | 585 Willow Ave, Hayward, CA 94541-2424 | 2018-05-02 |
| 1407373921 | Tibucio Vasquez Health Center, Inc. | Clinic/Center | 1633 East Ave, Hayward, CA 94541-5314 | 2017-08-25 |
| 1306047196 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-05-30 |
| 1114128915 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-05-30 |
| 1023219821 | Alameda Health System | Clinic/Center | 664 Southland Mall, Hayward, CA 94545-2150 | 2007-05-30 |
| 1073676243 | Tiburcio Vasquez Health Center, Inc. | Clinic/Center | 22331 Mission Blvd, Hayward, CA 94541 | 2006-12-19 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.