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

Q: 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.

Active since May 02, 2014CLIA Certified · 2 labs

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: September 27, 2026.

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

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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 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 2 active CLIA laboratory certificates 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

Phone(715) 882-2353

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

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Other Names 1

Doing Business AsNorthlakes Community Clinic

CLIA Laboratory Certificates CMS CLIA 2

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.

Certificate of Waiver 52D2187635

Northlakes Community Clinic · Turtle Lake, WI

Active · expires Jul 5, 2028

CLIA Number52D2187635

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJuly 6, 2026

Certificate Expiration DateJuly 5, 2028

Laboratory DirectorDr. Deborah Dryer

Laboratory Phone(715) 372-5001

Laboratory LocationNorthlakes Community Clinic730 Swede Avenue, Turtle Lake, WI 54889

CLIA data matches this NPI record on: 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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.