Organization · Type 2 NPI

Lake Superior Community Health Center

Federally Qualified Health Center (FQHC) · Duluth, MN

NPI number 1699708297 Active

Practice location

4325 Grand Ave
Duluth, MN 55807-2730

Fax (218) 722-6239

Mailing address

2222 E 5th St
Superior, WI 54880-3709

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1699708297

Lake Superior Community Health Center's National Provider Identifier is 1699708297, issued on Jul 8, 2006. 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.