LAKESHORE COMMUNITY HEALTH CARE, INC.
NPI 1245502673
Clinic/Center - Federally Qualified Health Center (FQHC) in Manitowoc, WI

Active since February 01, 2012CLIA 52D2067831 · Waiver
601 BUFFALO ST, MANITOWOC, WI 54220(920) 686-2333(920) 783-6392 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 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 1245502673), doing business as Community Clinics Of Manitowoc County, is a healthcare organization registered as a federally qualified health center (fqhc) in Manitowoc, Wisconsin and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Michele M Schmitt, Program Director, as its authorized official.

NPPES Registry Identity

NPI1245502673
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKESHORE COMMUNITY HEALTH CARE, INC.
Location Address601 BUFFALO STManitowoc, WI 54220-6817
Mailing AddressPo Box 959Sheboygan, WI 53082-0959 · (920) 783-6633 · Fax (920) 783-6392
Fax(920) 783-6392
Organization SubpartYesParent: Lakeshore Community Health Care, Inc
Authorized OfficialMichele M SchmittProgram Director · (920) 686-2333
Enumeration DateFebruary 1, 2012
Last NPPES UpdateOctober 3, 2014
NPI 1245502673 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
601 BUFFALO ST, Manitowoc, WI 54220

Other Names 1

Former Legal Business NameCommunity Clinics Of Manitowoc County

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 52D2067831

Lakeshore Community Health Care, Inc · Manitowoc, WI
Active · expires Oct 22, 2027
CLIA Number52D2067831
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Paj Ntaub Vang
Laboratory Phone(920) 320-6735
Laboratory LocationLakeshore Community Health Care, Inc2719 Calumet Ave, Manitowoc, WI 54220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Dental Hygienist
601 BUFFALO ST
MANITOWOC, WI 54220
Nurse Practitioner
601 BUFFALO ST, LAKESHORE COMMUNITY HEALTH CLINIC
MANITOWOC, WI 54220
Chiropractor
601 BUFFALO ST
MANITOWOC, WI 54220
Dental Hygienist
601 BUFFALO ST
MANITOWOC, WI 54220
Dentist
601 BUFFALO ST
MANITOWOC, WI 54220

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 1245502673. It was assigned to this organization in the NPPES registry on February 1, 2012. The provider was formerly known as Community Clinics Of Manitowoc County.

Where is Lakeshore Community Health Care, Inc. located?

Lakeshore Community Health Care, Inc. is located at 601 Buffalo St, Manitowoc, WI 54220. The listed phone number is (920) 686-2333.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2067831) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeshore Community Health Care, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) 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 October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.