Organization · Type 2 NPI

Lakeshore Community Health Care, Inc

Federally Qualified Health Center (FQHC) · Sheboygan, WI

NPI number 1245520519 Active

Practice location

510 S. 8th Street
Sheboygan, WI 53081-4404

Call (920) 783-6633 Map

Fax (920) 783-6392

Mailing address

P.o. 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...

Other federally qualified health center (fqhc) providers in Sheboygan

Lakeshore Community Health Care, IncFederally Qualified Health Center (FQHC) Sheboygan, WI NPI 1144698549
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See all in Sheboygan →

NPI record

NPI: 1245520519
Entity type: Organization (Type 2)
Issued: Apr 7, 2011
Last updated: Oct 3, 2014
Status: Active
Subpart: Yes of Lakeshore Community Healthcare, Inc

Other names

<unavail>
Sheboygan Area Community Clinics, Inc. · former legal business name

Authorized official

Michele M Schmitt
Office Administrator
(920) 783-6633

Verify this record

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 1245520519

Lakeshore Community Health Care, Inc's National Provider Identifier is 1245520519, issued on Apr 7, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sheboygan, WI. The record was last updated on Oct 3, 2014.