Organization · Type 2 NPI
Lake Superior Community Health Center
Federally Qualified Health Center (FQHC) · Carlton, MN
NPI number
1760013700
Active
Practice location
210 3rd St
Carlton, MN 55718-7703
Fax (218) 384-9002
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...
7 other providers at this address
- Erick Russell Anderson, DCChiropractor Carlton, MN NPI 1710960984
- James A. Adamczak, DDSGeneral Practice Dentistry Carlton, MN NPI 1023190642
- Jeffrey John Bertani, DDSGeneral Practice Dentistry Carlton, MN NPI 1427123751
- Kirsten K. Komarek, RDHDental Hygienist Carlton, MN NPI 1285245233
- Leeann Christiansen, RDHDental Hygienist Carlton, MN NPI 1043906159
- Steven Boyd Kottke, DDSGeneral Practice Dentistry Carlton, MN NPI 1780744136
- Wendy Ann Peterson, DMDGeneral Practice Dentistry Carlton, MN NPI 1427549674
About NPI 1760013700
Lake Superior Community Health Center's National Provider Identifier is 1760013700, issued on Jan 29, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Carlton, MN. The record was last updated on Feb 13, 2024.