THE LAKES COMMUNITY HEALTH CENTER, INC (NPI# 1720215684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720215684 |
| Entity Type | Organization |
| Organization Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | CHANGING FROM: THE LAKES COMMUNITY DENTAL CENTER |
| Practice Address |
719 Main St East Ashland WI 54806-1918 |
| Mailing Address |
15954 Rivers Edge Dr Ste 304 Hayward WI 54843-7894 |
| Practice Telephone | 7156852200 |
| Practice Fax Number | 7156852202 |
| Mailing Telephone | 7156342541 |
| Mailing Fax Number | 7155984881 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | REBECCA S 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 |
|---|---|
| Changing from: The Lakes Community Dental Center | Other Name - Individual/Organization |
| 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 |
| 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 |
719 MAIN ST EAST |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124346721 | Beth Ann Metzinger | Dental Hygienist | 719 Main St East, Ashland, WI 54806 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| 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 |
|---|---|---|---|---|
| 1376009407 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 16025 Boundary Drive, Ashland, MS 38603 | 2019-02-13 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1962833624 | Katahdin Valley Health Center | Clinic/Center | 33 Walker St, Ashland, ME 04732-3429 | 2013-12-06 |
| 1205998309 | Rogue Community Health | Clinic/Center | 99 Central Avenue, Ashland, OR 97520-1787 | 2006-12-14 |
| 1104461805 | Third Street Community Clinic, Inc. | Clinic/Center | 309 Arthur St, Ashland, OH 44805-3206 | 2019-11-18 |
| 1144750266 | Katahdin Valley Health Center | Clinic/Center | 180 Presque Isle Rd, Ashland, ME 04732-3414 | 2017-06-13 |
| 1548711427 | Rogue Community Health | Clinic/Center | 364 Walker Ave, Ashland, OR 97520-2314 | 2016-10-17 |
| 1932575149 | Bighorn Valley Health Center, Incorporated | Clinic/Center | 501 Main Street, Ashland, MT 59003 | 2015-08-12 |
| 1902206857 | Lewis County Primary Care Center, Inc. | Clinic/Center | 432 16th St, Ashland, KY 41101-7693 | 2014-08-28 |
| 1598187783 | Quality of Life Health Services, Inc | Clinic/Center | 40745 Highway 77, Ashland, AL 36251-4807 | 2014-01-08 |
| Find all providers in ASHLAND | ||||
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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.