LAKESHORE COMMUNITY HEALTH CARE, INC
NPI 1508391020
Clinic/Center - Federally Qualified Health Center (FQHC) in Manitowoc, WI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeshore Community Health Care, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to Lakeshore Community Health Care, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 46Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Lakeshore Community Health Care, Inc enrolled in Medicare?
Yes. Lakeshore Community Health Care, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeshore Community Health Care, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 9 Medicare specialties reassign their Medicare billing to Lakeshore Community Health Care, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (16), Nurse Practitioner (11) and Clinical Social Worker (7). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeshore Community Health Care, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners and Quartz 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.
# Lakeshore Community Health Care, Inc · NPI 1508391020
Federally Qualified Health Center (FQHC) organization in Manitowoc, Wisconsin. Organization record, active in the CMS NPPES registry since April 21, 2017.
## Identity
- **NPI:** 1508391020 (Entity type: Organization)
- **Enumerated:** April 21, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** David Hughes, CFO
## Practice location
- **Address:** 2719 CALUMET AVE, Manitowoc, WI 54220-5546
- **Phone:** (920) 686-2333 · **Fax:** (920) 686-2334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (16), Nurse Practitioner (11), Clinical Social Worker (7); 3 practice at this address and 8 within 10 miles; [full list](https://npiprofile.com/npi/1508391020/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1508391020) · Data from the CMS NPPES public registry.