Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Superior Community Health Center

Organization Federally Qualified Health Center (FQHC) · NPI 1063789022

Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) in Superior, Wisconsin. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

2222 E 5th St
Superior, WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Show map & directions

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 number1063789022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Homan — Ceo · (715) 392-1955
NPI enumeratedNovember 18, 2011
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address2222 E 5th St, Superior, WI 54880-3709

Other providers in Superior