institution
Lake Superior Community Health Center
Federally Qualified Health Center (FQHC) in Duluth, Minnesota
NPI 1013556638

Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) based in Superior, MN and is specialized in Federally Qualified Health Center (FQHC). Lake Superior Community Health Center practices in Duluth, MN. The NPI Number for Lake Superior Community Health Center is 1013556638 and holds a License No. (Minnesota).

The current practice location address for Lake Superior Community Health Center is 4602 Grand Ave Ste 1000, Duluth, MN and can be reached out via phone at 218-336-3520 and via fax at 218-624-6097. You can also correspond with Lake Superior Community Health Center through the mailing address at 2222 E 5TH ST, SUPERIOR, WI - 54880-3709 (mailing address contact number: 715-392-1955).

Location: 4602 Grand Ave Ste 1000, Duluth, MN, 54880-3709
institution
Provider Profile Details
NPI Number
1013556638
Provider Name
Lake Superior Community Health Center
Credential
Provider Entity Type
Organization
Address
4602 Grand Ave Ste 1000, Duluth, MN, 54880-3709
Phone Number
218-336-3520
Fax Number
218-624-6097
Provider Enumeration Date
12/30/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4602 Grand Ave Ste 1000
City
State
Zip
55807-2712
Phone Number
218-336-3520
Fax Number
218-624-6097
person
Provider Business Mailing Address Details
Address
2222 E 5Th St
City
State
Zip
54880-3709
Phone Number
715-392-1955
Fax Number
715-392-1935
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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