Organization · Type 2 NPI
Lake Superior Community Health Center
Federally Qualified Health Center (FQHC) · Duluth, MN
NPI number
1013556638
Active
Practice location
4602 Grand Ave Ste 1000
Duluth, MN 55807-2712
Fax (218) 624-6097
Mailing address
2222 E 5th St
Superior, WI 54880-3709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Duluth
About NPI 1013556638
Lake Superior Community Health Center's National Provider Identifier is 1013556638, issued on Dec 30, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Duluth, MN. The record was last updated on Feb 13, 2024.