Lake Superior Community Health Center
Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) in Duluth, Minnesota. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
4602 Grand Ave Ste 1000Duluth, MN 55807-2712
Phone: (218) 336-3520
Fax: (218) 624-6097
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1013556638 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lee Homan — Ceo · (715) 392-1955 |
| NPI enumerated | December 30, 2019 |
| Last updated in NPPES | February 13, 2024 |
| Certification date | February 13, 2024 |
| Mailing address | 2222 E 5th St, Superior, WI 54880-3709 |
Other providers in Duluth
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Lake Superior Community Health Center
4325 Grand Ave, Duluth, MN 55807-2730 · (218) 722-1497
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Lake Superior Community Health Center
4325 Grand Ave, Duluth, MN 55807-2730 · (218) 722-1497