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LAKESHORE COMMUNITY HEALTH CARE, INC
NPI 1508391020
Clinic/Center - Federally Qualified Health Center (FQHC) in Manitowoc, WI

Active since April 21, 2017
2719 CALUMET AVE, MANITOWOC, WI 54220(920) 686-2333(920) 686-2334 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 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 1508391020) is a healthcare organization registered as a federally qualified health center (fqhc) in Manitowoc, Wisconsin and active in the NPI registry since April 2017. The organization lists David Hughes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1508391020
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKESHORE COMMUNITY HEALTH CARE, INC
Location Address2719 CALUMET AVEManitowoc, WI 54220-5546
Mailing AddressPo Box 959Sheboygan, WI 53082-0959 · (920) 783-6633 · Fax (920) 783-6392
Phone(920) 686-2333
Fax(920) 686-2334
Organization SubpartNo
Authorized OfficialDavid HughesCfo · (920) 783-6633
Enumeration DateApril 21, 2017
✔ NPI 1508391020 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
2719 CALUMET AVE, Manitowoc, WI 54220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

DONNA BUECHNER NPC
Nurse Practitioner (Psychiatric/Mental Health)
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 686-2333
JENNIFER JELENIC LCSW
Social Worker (Clinical)
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 686-2333
MEGAN M HOFMEISTER LPC
Counselor (Professional)
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 686-2333
MR. BEOM YOUNG LEE DMD
Dentist
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 783-6633
LA CLINICA DE LOS CAMPESINOS, INC
Pharmacy (Community/Retail Pharmacy)
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 395-2980
MILTON LEGANCHUK LAT
Specialist/Technologist (Athletic Trainer)
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 683-1900
DR. LAUREN ANNE SCARRY DMD
Dentist
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 686-2333
SAMRAH RIAZ
Dentist (General Practice)
2719 CALUMET AVE
MANITOWOC, WI 54220
Manitowoc County (920) 686-2333

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 1508391020. It was assigned to this organization in the NPPES registry on April 21, 2017.

Where is Lakeshore Community Health Care, Inc located?

Lakeshore Community Health Care, Inc is located at 2719 Calumet Ave, 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.

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 April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.