LAKESHORE COMMUNITY HEALTH CARE, INC
NPI 1144698549
Clinic/Center - Federally Qualified Health Center (FQHC) in Sheboygan, WI

Active since September 02, 2015CLIA Certified · 2 labs
1721 SAEMANN AVENUE, SHEBOYGAN, WI 53081(920) 783-6633(920) 783-6392 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeshore Community Health Care, Inc NPPES

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

LAKESHORE COMMUNITY HEALTH CARE, INC (NPI 1144698549) is a healthcare organization registered as a federally qualified health center (fqhc) in Sheboygan, Wisconsin and active in the NPI registry since September 2015. The organization holds 2 active CLIA laboratory certificates and lists David E Hughes, Cfo/coo, as its authorized official.

NPPES Registry Identity

NPI1144698549
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKESHORE COMMUNITY HEALTH CARE, INC
Location Address1721 SAEMANN AVENUESheboygan, WI 53081-2341
Mailing AddressPo Box 959Sheboygan, WI 53082-0959 · (920) 783-6633 · Fax (920) 783-6392
Fax(920) 783-6392
Organization SubpartNo
Authorized OfficialDavid E HughesCfo/coo · (920) 783-6633
Enumeration DateSeptember 2, 2015
NPI 1144698549 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
1721 SAEMANN AVENUE, Sheboygan, WI 53081

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 Waiver 52D2093182

Lakeshore Community Health Care, Inc · Sheboygan, WI
Active · expires Mar 22, 2027
CLIA Number52D2093182
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorDr. Robert Wenberg
Laboratory Phone(920) 783-6633
Laboratory LocationLakeshore Community Health Care, Inc1721 Saemann Ave, Sheboygan, WI 53081
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2293347

Lakeshore Community H/C · West Bend, WI
Active · expires Nov 6, 2027
CLIA Number52D2293347
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorDr. Paj Ntaub Vang
Laboratory Phone(920) 783-6633
Laboratory LocationLakeshore Community H/C908 W Wash St, West Bend, WI 53095
CLIA data matches this NPI record on: 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.

Counselor (Professional)
1721 SAEMANN AVENUE
SHEBOYGAN, WI 53081

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 Lakeshore Community Health Care, Inc's NPI number?

The NPI number for Lakeshore Community Health Care, Inc is 1144698549. It was assigned to this organization in the NPPES registry on September 2, 2015.

Where is Lakeshore Community Health Care, Inc located?

Lakeshore Community Health Care, Inc is located at 1721 Saemann Avenue, Sheboygan, WI 53081. The listed phone number is (920) 783-6633.

What is Lakeshore Community Health Care, 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 Lakeshore Community Health Care, 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 Lakeshore Community Health Care, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Lakeshore Community Health Care, 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 Lakeshore Community Health Care, Inc was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.