THE LAKES COMMUNITY HEALTH CENTER, INC (NPI# 1679983423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679983423 |
| Entity Type | Organization |
| Organization Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | NORTHLAKES COMMUNITY CLINIC |
| Practice Address |
524 Bissell Street White Lake WI 54491 |
| Mailing Address |
15954 Rivers Edge Dr Hayward WI 54843-7800 |
| Practice Telephone | 7152766321 |
| Practice Fax Number | 7152761482 |
| Mailing Telephone | 7156342541 |
| Mailing Fax Number | 7155984881 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2019-03-19 |
| 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) |
WI | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1124436159 | The Lakes Community Health Center, Inc | Clinic/Center | 15910 W Company Lake Rd, Hayward, WI 54843-5320 | 2014-07-22 |
| 1518306893 | The Lakes Community Health Center, Inc | Pharmacy | 600 W Shell Creek Rd, Minong, WI 54859-9302 | 2013-06-19 |
| Street Address |
524 BISSELL STREET |
| City | WHITE LAKE |
| State | WI |
| Zip Code | 54491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467629907 | J T School District 2 | Occupational Therapist | 405 Bissell Street, White Lake, WI 54491-0067 | 2008-05-14 |
| 1710922620 | Troutland Rescue Squad, Inc. | Ambulance | 113 Bissell St, White Lake, WI 54491-9410 | 2006-06-17 |
| 1134493067 | Phillip Norman Heistad | Audiologist-Hearing Aid Fitter | 1226 Lake St, White Lake, WI 54491-9750 | 2012-02-23 |
| 1558827196 | Bonnie May Stegall | Licensed Practical Nurse | W3728 County Road P, White Lake, WI 54491-9761 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616216 | Elizabeth Trueblood | Occupational Therapist | 5664 Teton Trl, White Lake, MI 48383-4017 | 2020-10-12 |
| 1063010288 | Heather R Iavelli | Massage Therapist | 220 Dumaire St, White Lake, MI 48383-2697 | 2020-10-09 |
| 1285231563 | Jennifer L Herrera | Occupational Therapy Assistant | 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 | 2020-10-08 |
| 1457976516 | Candice Kiera Gibson | Social Worker | 133 Lisa Cir, White Lake, MI 48386-3445 | 2020-06-14 |
| 1659994689 | Ashlen Paige Michalski | Behavior Technician | 10301 Riverwood Ct, White Lake, MI 48386-2642 | 2020-05-26 |
| 1841813813 | Brian Joseph Allar | Registered Nurse | 1738 Ridge Rd, White Lake, MI 48383-1784 | 2020-05-25 |
| 1902431653 | Recovery Mobile Clinic | Clinic/Center | 3050 Steeple Road, White Lake, MI 48383 | 2020-03-03 |
| 1982234803 | Ashley Ziebarth | Nurse Practitioner | 9178 Highland Rd Ste 1, White Lake, MI 48386-4619 | 2020-01-20 |
| 1518501402 | Tina L Cummings | Behavior Technician | 8300 Atha St, White Lake, MI 48386-4300 | 2019-11-04 |
| 1740821339 | Farrah Laviolette | Psychiatry & Neurology | 9178 Highland Rd Ste A, White Lake, MI 48386-4619 | 2019-10-04 |
| Find all providers in WHITE LAKE | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1144593815 | Sixteenth Street Community Health Centers Inc | Clinic/Center | 309 E North St., Waukesha, WI 53188 | 2012-02-10 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 54491 |
Please comment or provide details below to improve the information on THE LAKES COMMUNITY HEALTH CENTER, INC.
| 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.