NORTHLAKES COMMUNITY CLINIC
NPI 1679983423
Clinic/Center - Federally Qualified Health Center (FQHC) in White Lake, WI

Active since May 02, 2014CLIA 52D2081335 · Waiver
524 BISSELL STREET, WHITE LAKE, WI 54491(715) 882-2353(715) 882-2355 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2023, Mar 19, 2019 (2 updates tracked since 2019).

About Northlakes Community Clinic NPPES

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

NORTHLAKES COMMUNITY CLINIC (NPI 1679983423) is a healthcare organization registered as a federally qualified health center (fqhc) in White Lake, Wisconsin and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Rebecca Rice, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679983423
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameTHE LAKES COMMUNITY HEALTH CENTER, INC
Location Address524 BISSELL STREETWhite Lake, WI 54491
Mailing Address15735 W Us Highway 63Hayward, WI 54843-6475 · (715) 934-0710 · Fax (715) 598-4881
Fax(715) 882-2355
Organization SubpartNo
Authorized OfficialRebecca RiceCeo · (715) 372-5001
Enumeration DateMay 2, 2014
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1679983423 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
524 BISSELL STREET, White Lake, WI 54491

Other Names 1

Doing Business AsNorthlakes Community Clinic

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 52D2081335

Northlakes Community Clinic White Lake · White Lake, WI
Active · expires Jul 22, 2028
CLIA Number52D2081335
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorDr. Deb Dryer
Laboratory Phone(715) 882-2353
Laboratory LocationNorthlakes Community Clinic White Lake524 Bissell Street, White Lake, WI 54491
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 The Lakes Community Health Center, Inc's NPI number?

The NPI number for The Lakes Community Health Center, Inc is 1679983423. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is doing business as Northlakes Community Clinic.

Where is The Lakes Community Health Center, Inc located?

The Lakes Community Health Center, Inc is located at 524 Bissell Street, White Lake, WI 54491. The listed phone number is (715) 882-2353.

What is The Lakes Community Health Center, 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 The Lakes Community Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2081335) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Lakes Community Health Center, Inc was last updated on October 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.