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CHC08784-17 LAKES COMMUNITY HEALTH CENTER, INC., THE (ToBeTerminated)
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Main Details
Name
LAKES COMMUNITY HEALTH CENTER, INC., THE
Subdivision Name
NorthLakes - Oconto
Type
HRSA-Funded Health Center
Site ID
BPS-H80-027199
340B ID
CHC08784-17
Grant Number
H80CS08784
Additional Details
Current Program Status
ToBeTerminated
Registration Date
4/3/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/10/2019
Last Recertification Date
2/10/2025
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
The Lakes Community Health Center
Jason Akl, COO
(715) 372-5001
Primary Contact
The Lakes Community Health Center
Christine Marie Dryer, Pharmacy Director
(715) 372-5011
Addresses
Street Address
820 Arbutus Ave
Oconto, WI 54153-2004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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