Organization · Type 2 NPI
The Lakes Community Health Center, Inc
Federally Qualified Health Center (FQHC) · White Lake, WI
NPI number
1679983423
Active
Practice location
524 Bissell Street
White Lake, WI 54491
Fax (715) 882-2355
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1679983423
The Lakes Community Health Center, Inc's National Provider Identifier is 1679983423, issued on May 2, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in White Lake, WI. The record was last updated on Oct 13, 2023.