LAKESHORE COMMUNITY HEALTH CARE, INC (NPI# 1578990578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578990578 |
| Entity Type | Organization |
| Organization Name | LAKESHORE COMMUNITY HEALTH CARE, INC |
| Other Organization Name | SHEBOYGAN AREA COMMUNITY CLINICS, INC |
| Practice Address |
1931 N 8th St Sheboygan WI 53081-2740 |
| Mailing Address |
Po Box 959 Sheboygan WI 53082-0959 |
| Practice Telephone | 9207836633 |
| Practice Fax Number | 9207836392 |
| Mailing Telephone | 9207836633 |
| Mailing Fax Number | 9207836392 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2014-09-30 |
| Authorized Official Name | DAVID HUGHES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9207836633 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKESHORE COMMUNITY HEALTH CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sheboygan Area Community Clinics, Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245520519 | Lakeshore Community Health Care, Inc | Clinic/Center | 510 S. 8th Street, Sheboygan, WI 53081-4404 | 2011-04-07 |
| 1508391020 | Lakeshore Community Health Care, Inc | Clinic/Center | 2719 Calumet Ave, Manitowoc, WI 54220-5546 | 2017-04-21 |
| 1144698549 | Lakeshore Community Health Care, Inc | Clinic/Center | 1721 Saemann Avenue, Sheboygan, WI 53081-2341 | 2015-09-02 |
| Street Address |
1931 N 8TH ST |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710086509 | Blanche Elizabeth Franzese | Dentist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2006-09-21 |
| 1528461373 | Patricia Helmer | Dental Hygienist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2014-10-07 |
| 1164833562 | Casey S Wilson | Dentist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2014-05-19 |
| 1306271242 | Rebecca J Rose | Dental Hygienist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2013-09-11 |
| 1598197469 | Melissa J Prisinger | Dental Hygienist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2013-08-02 |
| 1386998177 | Heather Quasius | Dental Hygienist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2012-11-01 |
| 1093082331 | Paul S Mantz | Dentist | 1931 N 8th St, Sheboygan, WI 53081-2740 | 2011-11-30 |
| 1588764435 | Kurtis S Kellner Dds Sc | Dentist | 1931 N 8th St, Sheboygan, WI 53081 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| 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 |
|---|---|---|---|---|
| 1245520519 | Lakeshore Community Health Care, Inc | Clinic/Center | 510 S. 8th Street, Sheboygan, WI 53081-4404 | 2011-04-07 |
| 1144698549 | Lakeshore Community Health Care, Inc | Clinic/Center | 1721 Saemann Avenue, Sheboygan, WI 53081-2341 | 2015-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693847 | Scenic Bluffs Health Center, Inc | Clinic/Center | 100 Blackhawk Dr, Viroqua, WI 54665-1315 | 2019-08-02 |
| 1942718762 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 2607 S 5th St, Milwaukee, WI 53207-1418 | 2018-01-15 |
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
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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.