NORTHLAKES COMMUNITY CLINIC
NPI 1144298787
Clinic/Center - Federally Qualified Health Center (FQHC) in Hayward, WI

Active since March 09, 2006CLIA Certified · 2 labs
11128 N STATE ROAD 77, HAYWARD, WI 54843(715) 634-2541(715) 634-5740 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Feb 5, 2019 (2 updates tracked since 2019).

About Northlakes Community Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAKES COMMUNITY CLINIC (NPI 1144298787) is a healthcare organization registered as a federally qualified health center (fqhc) in Hayward, Wisconsin and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Reba Rice, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144298787
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE LAKES COMMUNITY HEALTH CENTER, INC
Location Address11128 N STATE ROAD 77Hayward, WI 54843-5332
Mailing Address15735 W Us Highway 63Hayward, WI 54843-6475 · (715) 934-0710 · Fax (715) 598-4881
Fax(715) 634-5740
Organization SubpartNo
Authorized OfficialReba RiceCeo · (715) 372-5001
Enumeration DateMarch 9, 2006
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
NPI 1144298787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
11128 N STATE ROAD 77, Hayward, WI 54843

Other Names 1

Doing Business AsNorthlakes Community Clinic

Other Identifiers 1

Medicaid1811178825WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0397042

Northlakes Community Clinic · Hayward, WI
Active · expires Jun 3, 2027
CLIA Number52D0397042
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 4, 2025
Certificate Expiration DateJune 3, 2027
Laboratory DirectorDr. Brent Kelley
Laboratory Phone(715) 634-2541
Laboratory LocationNorthlakes Community Clinic15954 Rivers Edge Dr, Hayward, WI 54843
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 52D2157187

Northlakes Community Clinic · Park Falls, WI
Active · expires Oct 31, 2026
CLIA Number52D2157187
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorDr. Deb Dryer
Laboratory Phone(715) 634-2541
Laboratory LocationNorthlakes Community Clinic110 2nd Ave N, Park Falls, WI 54552
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
11128 N STATE ROAD 77
HAYWARD, WI 54843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Lakes Community Health Center, Inc's NPI number?

The NPI number for The Lakes Community Health Center, Inc is 1144298787. It was assigned to this organization in the NPPES registry on March 9, 2006. The provider is doing business as Northlakes Community Clinic.

Where is The Lakes Community Health Center, Inc located?

The Lakes Community Health Center, Inc is located at 11128 N State Road 77, Hayward, WI 54843. The listed phone number is (715) 634-2541.

What is The Lakes Community Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does The Lakes Community Health Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does The Lakes Community Health Center, Inc accept?

Health plans from Medica list The Lakes Community Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Lakes Community Health Center, Inc was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.