NPIMap

Organization Active NPI

The Lakes Community Health Center, Inc

Doing business as Northlakes Clinic Pharmacy

  • Clinic Pharmacy
  • Iron River, WI
National Provider Identifier
1568800407
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
9206-42 Issued in WI
Legal business name
THE LAKES COMMUNITY HEALTH CENTER, INC
Doing business as
Northlakes Clinic Pharmacy
Practice address
7665 US Highway 2
Iron River, WI 54847-4690
Phone
(715) 372-5001
Fax
(715) 372-5067
NPI assigned
Jun 13, 2013
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Akl
Title
Coo
Phone
(715) 372-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 9206-42 WI Primary

Addresses

Primary practice location

7665 US Highway 2
Iron River, WI 54847-4690

Mailing address

7665 US Highway 2
Iron River, WI 54847-4690
Phone (715) 372-5001

Other names 1

  • Northlakes Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Lakes Community Health Center Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1568800407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 US HIGHWAY 2",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548474690",
            "telephone_number": "715-372-5001",
            "fax_number": "715-372-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 US HIGHWAY 2",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548474690",
            "telephone_number": "715-372-5001",
            "fax_number": "715-372-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "AKL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "715-372-5001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WI",
            "license": "9206-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northlakes Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iron River, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.