Organization · Type 2 NPI

Lakeshore Community Health Care, Inc.

Federally Qualified Health Center (FQHC) · Manitowoc, WI

NPI number 1245502673 Active

Practice location

601 Buffalo St
Manitowoc, WI 54220-6817

Call (920) 686-2333 Map

Fax (920) 783-6392

Mailing address

PO Box 959
Sheboygan, WI 53082-0959

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

Other federally qualified health center (fqhc) providers in Manitowoc

Lakeshore Community Health Care, IncFederally Qualified Health Center (FQHC) Manitowoc, WI NPI 1508391020

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NPI record

NPI: 1245502673
Entity type: Organization (Type 2)
Issued: Feb 1, 2012
Last updated: Oct 3, 2014
Status: Active
Subpart: Yes of Lakeshore Community Health Care, Inc

Other names

<unavail>
Community Clinics of Manitowoc County · former legal business name

Authorized official

Michele M Schmitt
Program Director
(920) 686-2333

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245502673

Lakeshore Community Health Care, Inc.'s National Provider Identifier is 1245502673, issued on Feb 1, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Manitowoc, WI. The record was last updated on Oct 3, 2014.