NPI 1144298787
The Lakes Community Health Center, INC
Practice location
- Address
- 11128 N State Road 77, Hayward, WI 54843-5332
- Phone
- (715) 634-2541
- Fax
- (715) 634-5740
- 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
Registry record
- NPI
- 1144298787
- Entity type
- Organization
- NPI issued
- 9 Mar 2006
- 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.