Organization · Type 2 NPI
Lake Superior Community Health Center
Federally Qualified Health Center (FQHC) · Superior, WI
NPI number
1063789022
Active
Practice location
2222 E 5th St
Superior, WI 54880-3709
Fax (715) 392-1935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
27 other providers at this address
- Aaron D. Pust, MSW, LICSWClinical Social Worker Superior, WI NPI 1629366968
- Adam M. Wennersten, PA-CPhysician Assistant Superior, WI NPI 1568619682
- Andrea Nelson, MSW, LCSWClinical Social Worker Superior, WI NPI 1427441104
- Blaire Marie Hysjulien, LCSWClinical Social Worker Superior, WI NPI 1093168866
- Crystal M. Norris, SAC-ITCase Manager/Care Coordinator Superior, WI NPI 1245988013
- Emily J. Anderson, MDFamily Medicine Physician Superior, WI NPI 1770551335
- Eric M. Elmquist, DDSGeneral Practice Dentistry Superior, WI NPI 1366642449
- Heather Branham, LGSWClinical Social Worker Superior, WI NPI 1538914676
- Heather P. Rantala, RDHDental Hygienist Superior, WI NPI 1629783428
- Holly A. Thompson, SAC-ITAddiction (Substance Use Disorder) Counselor Superior, WI NPI 1578137147
- Holly Woodhull, RNRegistered Nurse Superior, WI NPI 1043979354
- Jacquelyn K. Lindberg, LPCProfessional Counselor Superior, WI NPI 1124586961
Other federally qualified health center (fqhc) providers in Superior
About NPI 1063789022
Lake Superior Community Health Center's National Provider Identifier is 1063789022, issued on Nov 18, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Superior, WI. The record was last updated on Feb 13, 2024.