NORTHLAKES COMMUNITY CLINIC - NPI 1518690841 - Clinic/Center in Marinette, WI

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Northlakes Community Clinic NPPES

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

NORTHLAKES COMMUNITY CLINIC (NPI 1518690841) is a healthcare organization registered as a federally qualified health center (fqhc) in Marinette, Wisconsin and active in the NPI registry since July 2022. The organization lists Rebecca Rice, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518690841

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameTHE LAKES COMMUNITY HEALTH CENTER, INC

Location Address1435 CLEVELAND AVEMarinette, WI 54143-3918

Mailing Address15735 W Us Highway 63Hayward, WI 54843-6475 · (715) 934-0710 · Fax (715) 598-4881

Phone(715) 504-6419

Fax(715) 504-6420

Organization SubpartYes

Authorized OfficialRebecca RiceCeo · (715) 372-0323

Enumeration DateJuly 5, 2022

Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1518690841 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

1435 CLEVELAND AVE, Marinette, WI 54143

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Other Names 1

Doing Business AsNorthlakes Community Clinic

Other Identifiers 1

Medicaid1811178825WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and more.Insurance ›