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 1639684384

Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) in Superior, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1500 N 34th St Ste 200
Superior, WI 54880-4477
Phone: (715) 395-5380
Fax: (715) 394-2682
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 number1639684384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessie Peterson — Coo · (218) 722-1497
Other names Lake Superior Community Health Center; Lake Superior Community Health Center
NPI enumeratedDecember 4, 2017
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021
Mailing address1500 N 34th St, Superior, WI 54880-4477

Other providers in Superior