LAKESHORE COMMUNITY HEALTH CARE INC. NPI 1245502673

NPI Information

NPI: 1245502673
Provider Name: LAKESHORE COMMUNITY HEALTH CARE, INC.

Former Legal Business Name: COMMUNITY CLINICS OF MANITOWOC COUNTY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
601 BUFFALO ST
MANITOWOC, WI
ZIP 54220
Phone: (920) 686-2333
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LAKESHORE COMMUNITY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Manitowoc, WI. LAKESHORE COMMUNITY HEALTH CARE, INC. NPI is 1245502673. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Community Clinics Of Manitowoc County.

The provider's business location address is:

601 BUFFALO ST
MANITOWOC, WI
ZIP 54220-817
Phone: (920) 686-2333
Fax: (920) 783-6392

The provider's authorized official is Michele M Schmitt .
The authorized official title is Program Director and has the following contact phone number (920) 686-2333.

The enumeration date for this NPI number is 2/1/2012 and was last updated on 10/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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