NPI 1073956223

The Lakes Community Health Center, INC

Organisation Federally Qualified Health Center (FQHC) Oconto, WI

Practice location

Address: 820 Arbutus Ave, Oconto, WI 54153-2004
Phone: (920) 516-7107
Fax: (920) 835-2919
Mailing address: 15735 W US Highway 63, Hayward, WI 54843-6475

Authorised official

Name: Reba Rice
Title: Ceo
Phone: (715) 372-5001

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence 4757-800 (WI)

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Registry record

NPI: 1073956223
Entity type: Organization
NPI issued: 8 Apr 2013
Record last updated: 5 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.