THE LAKES COMMUNITY HEALTH CENTER, INC (NPI# 1750878542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750878542 |
| Entity Type | Organization |
| Organization Name | THE LAKES COMMUNITY HEALTH CENTER, INC |
| Other Organization Name | NORTHLAKES COMMUNITY CLINIC |
| Practice Address |
108 S Main St Birchwood WI 54817 |
| Mailing Address |
15954 Rivers Edge Dr Ste 304 Hayward WI 54843-7894 |
| Practice Telephone | 7153543369 |
| Practice Fax Number | 7153547158 |
| Mailing Telephone | 7156342541 |
| Mailing Fax Number | 7155984881 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-02-05 |
| 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 |
| 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 |
108 S MAIN ST |
| City | BIRCHWOOD |
| State | WI |
| Zip Code | 54817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609320878 | Leann Ellingson | Registered Nurse | W 725 Cth D, Birchwood, WI 54817 | 2016-08-05 |
| 1639252562 | Roberta A Freitag | Pharmacist | 2750n Thayer Rd, Birchwood, WI 54817 | 2006-10-23 |
| 1477655702 | Village of Birchwood | Ambulance | 101 North Main Street, Birchwood, MN 54817 | 2006-09-05 |
| 1497231849 | Danielle Vanark | Dental Hygienist | 108 S Main Street, Birchwood, WI 54817 | 2018-07-18 |
| 1699251801 | Kathryn Langevin | Dentist | 108 S Main Street, Birchwood, WI 54817 | 2018-07-11 |
| 1013165901 | Birchwood Four Corners Emergency Services District | Ambulance | 101 N Main St, Birchwood, WI 54817 | 2008-09-04 |
| 1578722385 | Rick D Freitag | Radiology | 2750n Thayer Rd, Birchwood, WI 54817 | 2008-06-06 |
| 1770653651 | John M Kane | Dentist | 108 S Main Street, Birchwood, WI 54817 | 2006-11-08 |
| 1508024340 | Birchwood Four Corners Emergency Services District | Ambulance | 119 W Park Ave, Birchwood, WI 54817-8601 | 2008-05-29 |
| 1851570626 | School District of Birchwood | Local Education Agency (LEA) | 300 S Wilson St, Birchwood, WI 54817-8841 | 2007-10-30 |
| Find all providers in zip 54817 | ||||
| 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 |
| 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 | ||||
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.