Organization · Type 2 NPI
The Lakes Community Health Center, Inc
Federally Qualified Health Center (FQHC) · Minong, WI
NPI number
1083961163
Active
Practice location
600 W Shell Creek Rd
Minong, WI 54859-9302
Fax (715) 466-2205
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 26972 (WI) |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- The Lakes Community Health Center, IncClinic Pharmacy Minong, WI NPI 1518306893
- The Lakes Community Health Center, IncClinic Pharmacy Minong, WI NPI 1912814401
- Frederick D. Kosmach, PA-CPhysician Assistant Minong, WI NPI 1760487722
- Heather L. Runge, PA-CMedical Physician Assistant Minong, WI NPI 1871528083
- Paul David WorkmanProfessional Counselor Minong, WI NPI 1497274591
About NPI 1083961163
The Lakes Community Health Center, Inc's National Provider Identifier is 1083961163, issued on Aug 8, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Minong, WI. The record was last updated on Aug 5, 2021.