NPI:
1578990578
Provider Name:
LAKESHORE COMMUNITY HEALTH CARE, INC
Former Legal Business Name: SHEBOYGAN AREA COMMUNITY CLINICS, INC
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1931 N 8TH ST
SHEBOYGAN, WI
ZIP 53081
Phone:
(920) 783-6633
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LAKESHORE COMMUNITY HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Sheboygan, WI. LAKESHORE COMMUNITY HEALTH CARE, INC NPI is 1578990578. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sheboygan Area Community Clinics, Inc.
The provider's business location address is:
1931 N 8TH ST
SHEBOYGAN, WI
ZIP 53081-740
Phone: (920) 783-6633
Fax: (920) 783-6392
The provider's authorized official is David Hughes .
The authorized official title is Chief Financial Officer and has the following contact phone number (920) 783-6633.
The enumeration date for this NPI number is 10/4/2013 and was last updated on 9/30/2014.