Healthcare Provider Details

I. General information

NPI: 1912814401
Provider Name (Legal Business Name): THE LAKES COMMUNITY HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W SHELL CREEK RD
MINONG WI
54859-9302
US

IV. Provider business mailing address

7665 US HIGHWAY 2
IRON RIVER WI
54847-4690
US

V. Phone/Fax

Practice location:
  • Phone: 715-934-3067
  • Fax: 715-466-5215
Mailing address:
  • Phone: 715-372-5011
  • Fax: 715-372-4067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANA TOCHTERMAN
Title or Position: CEO
Credential:
Phone: 715-685-1261