Organization · Type 2 NPI

Lakeshore Community Health Care, Inc.

Federally Qualified Health Center (FQHC) · Sheboygan, WI

NPI number 1659959450 Active

Practice location

819 Kentucky Ave
Sheboygan, WI 53081-4954

Fax (920) 783-6392

Mailing address

PO Box 959
Sheboygan, WI 53082-0959

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1659959450

Lakeshore Community Health Care, Inc.'s National Provider Identifier is 1659959450, issued on Apr 1, 2021. 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 Apr 1, 2021.