THE LAKES COMMUNITY HEALTH CENTER, INC (NPI# 1699778233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699778233 |
| Entity Type | Organization |
| Organization Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Practice Address |
15397 State Highway 32 Lakewood WI 54138-9702 |
| Mailing Address |
Po Box 179 Lakewood WI 54138-0179 |
| Practice Telephone | 7152766321 |
| Practice Fax Number | 7152761428 |
| Mailing Telephone | 7152766321 |
| Mailing Fax Number | 7152761428 |
| Enumeration Date | 2005-05-27 |
| 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) |
4757-800 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 3295500 | 05 |
| Other Name | Type Code |
|---|---|
| Nicolet Medical & Dental Clinic | Doing Business As Name - Organization |
| The Lakes Community Health Center, Inc | 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 |
| 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 |
15397 STATE HIGHWAY 32 |
| City | LAKEWOOD |
| State | WI |
| Zip Code | 54138-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346892312 | Samantha Ann Debroux | Nurse Practitioner | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2019-07-10 |
| 1508347808 | Tammy J Whitt-sylfest | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2018-08-24 |
| 1104297571 | Mackenzie Deaton | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2015-10-12 |
| 1720455496 | Rene A Farah | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2015-08-28 |
| 1386984078 | Stacie M Kramer | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2013-02-18 |
| 1336417542 | Lori Lee Nelson | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-12-02 |
| 1720369119 | Ashlei Elaine Mctrusty | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-08-30 |
| 1053608992 | Peggy S Christianson | Nurse Practitioner | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-06-29 |
| 1174828024 | Gisela Gunderson | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2011-01-24 |
| 1164749107 | Jessica Plummer | Dental Hygienist | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174830244 | Adam Robert Habeck | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2010-09-09 |
| 1386708378 | Stacey Lee Bisenius | Dental Hygienist | 15397 State Hwy 32, Lakewood, WI 54138 | 2006-12-21 |
| 1801135371 | Habeck Chiropractic Center, LLC | Chiropractor | 15267 State Hwy. 32, Lakewood, WI 54138 | 2013-02-04 |
| 1023338506 | Orthopedic & Spine Therapy of Lakewood, Sc | Physical Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-07 |
| 1790162899 | Assure Family Practice LLC | Clinic/Center | 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138-9300 | 2015-04-28 |
| 1265841944 | Sara Piontek | Massage Therapist | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2014-08-07 |
| 1588975908 | Orthopedic & Spine Therapy of Lakewood, Sc | Durable Medical Equipment & Medical Supplies | 17187 Twin Pines Rd, Lakewood, WI 54138-9300 | 2010-06-30 |
| 1235458894 | Lakewood Assisted Living, LLC | Assisted Living Facility | 17185 Flynn Ln, Lakewood, WI 54138-9593 | 2010-05-21 |
| 1740272848 | Jason William Nobles | Chiropractor | 15481 Commercial Rd, Ste G, Lakewood, WI 54138-9677 | 2005-08-16 |
| 1790284438 | Oconto Hospital & Medical Center Inc | Family Medicine | 15481 Commercial Rd, Lakewood, WI 54138-9677 | 2018-02-08 |
| Find all providers in zip 54138 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| 1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
| 1679931646 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 South Teller Street, Lakewood, CO 80235-2014 | 2016-02-05 |
| 1114213972 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 West 2nd Place, Lakewood, CO 80228-1506 | 2011-06-21 |
| 1558526418 | Metro Community Provider Network, Inc. | Clinic/Center | 8755 West 14th Avenue, Lakewood, CO 80215-4863 | 2008-07-21 |
| 1437314481 | Metro Community Provider Network, Inc. | Clinic/Center | 1255 South Wadsworth Blvd., Lakewood, CO 80232-5406 | 2008-07-18 |
| 1992965420 | Metro Community Provider Network, Inc. | Clinic/Center | 8500 West Colfax Avenue, Lakewood, CO 80215-4011 | 2008-06-09 |
| 1710980917 | Ocean Health Initiatives | Clinic/Center | 101 2nd St, Lakewood, NJ 08701-3324 | 2005-05-23 |
| 1447873773 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-21 |
| Find all providers in LAKEWOOD | ||||
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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.