Lake Superior Community Health Center
Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) in Duluth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.
- Licensed in
- MN
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
4325 Grand AveDuluth, MN 55807-2730
Phone: (218) 722-1497
Fax: (218) 727-8346
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 |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X · Licence R 228856-1 (MN) |
Record details
| NPI number | 1568832277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Katrina Jaworski — Director Of Finance · (715) 392-1955 |
| NPI enumerated | October 7, 2015 |
| Last updated in NPPES | August 26, 2020 |
| Certification date | August 26, 2020 |
| Mailing address | 3600 Tower Ave, Superior, WI 54880-5589 |
Other providers in Duluth
-
Lake Superior Community Health Center
4602 Grand Ave Ste 1000, Duluth, MN 55807-2712 · (218) 336-3520
-
Lake Superior Community Health Center
4325 Grand Ave, Duluth, MN 55807-2730 · (218) 722-1497