Organization Active NPI

The Lakes Community Health Center, Inc

Doing business as NorthLakes Community Clinic

  • Chiropractor
  • Iron River, WI
National Provider Identifier
1649557257
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4768-012 Issued in WI
Legal business name
THE LAKES COMMUNITY HEALTH CENTER, INC
Doing business as
NorthLakes Community Clinic
Practice address
7665 US Highway 2
Iron River, WI 54847-4690
Phone
(715) 372-5001
Fax
(715) 372-5001
NPI assigned
Nov 10, 2011
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
Reba Rice
Title
Ceo
Phone
(715) 372-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4768-012 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 Community Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4976 S County Road P
Poplar, WI 54864
Phone (715) 364-2440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1649557257",
    "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": "715-372-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAKES COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "REBA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-372-5001"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4768-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthLakes Community Clinic",
            "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.