NPIMap

Lakeshore Community Health Care, Inc

A Medicare group practice based in Sheboygan, WI: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 3173773124), with 46 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173773124The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
5
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
8In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20121029000074 WI Part A Provider - Federally Qualified Health Center (FQHC) 1144698549
O20130605000747 WI Part B Supplier - Clinic/Group Practice 1245520519
O20170905001862 WI Part A Provider - Federally Qualified Health Center (FQHC) 1508391020
O20210519002912 WI Part A Provider - Federally Qualified Health Center (FQHC) 1659959450
O20240904000951 WI Part A Provider - Federally Qualified Health Center (FQHC) 1184358004

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 46

Clinicians who reassign their Medicare benefits to this group (46) or whom Care Compare lists as members (14).

Sources for this page