The Lakes Community Health Center, Inc in Hayward - Federally Qualified Health Center (fqhc)
The Lakes Community Health Center, Inc - NPI 1811178825
The Lakes Community Health Center, Inc is a Federally Qualified Health Center (fqhc) in Hayward, Wisconsin. The Lakes Community Health Center, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for The Lakes Community Health Center, Inc is 1811178825. The last update date is 2019-02-05.
The Lakes Community Health Center, Inc's current location address is 15954 Rivers Edge Dr Ste 304, Hayward, Wisconsin. You can contact this provider via phone number 7156342541 and fax number 7155984881. The mailing address for The Lakes Community Health Center, Inc is 15954 Rivers Edge Dr Ste 304, Hayward, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Lakes Community Health Center, Inc |
|---|---|
| Address | 15954 Rivers Edge Dr Ste 304, Hayward, Wisconsin |
| Phone Number | 7156342541 |
| Fax Number | 7155984881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Rice Reba |
| Telephone Number | 7153725001 |
NPI Number Detail
| NPI Number | 1811178825 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2019-02-05 |
Provider Mailing Address Detail
| Address | 15954 Rivers Edge Dr Ste 304 |
|---|---|
| City | Hayward |
| State | Wisconsin (WI) |
| Post Code | 548437894 |
| Phone Number | 7156342541 |
| Fax Number | 7155984881 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32959400 | WI | -- |
Post Comment/ Review Below
What is the The Lakes Community Health Center, Inc's 1811178825?
The The Lakes Community Health Center, Inc's NPI (National Provider Identifier) Number is 1811178825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where The Lakes Community Health Center, Inc is physically located?
The The Lakes Community Health Center, Inc is physically situated at the following address: 15954 Rivers Edge Dr Ste 304, Hayward, WI, 548437894.
What is the The Lakes Community Health Center, Inc's area of specialization and corresponding taxonomy classification?
The The Lakes Community Health Center, Inc's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811178825 to The Lakes Community Health Center, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1811178825 to The Lakes Community Health Center, Inc on 2007-11-19.
When was the The Lakes Community Health Center, Inc's information last updated?
The The Lakes Community Health Center, Inc's information was last updated on 2019-02-05.