institution
Lake Superior Community Health Center
Federally Qualified Health Center (FQHC) in Superior, Wisconsin
NPI 1063789022

Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) based in Superior, WI and is specialized in Federally Qualified Health Center (FQHC). Lake Superior Community Health Center practices in Superior, WI. The NPI Number for Lake Superior Community Health Center is 1063789022 and holds a License No. (Wisconsin).

The current practice location address for Lake Superior Community Health Center is 2222 E 5Th St, Superior, WI and can be reached out via phone at 715-392-1955 and via fax at 715-392-1935.

Location: 2222 E 5Th St, Superior, WI, 54880-3709
institution
Provider Profile Details
NPI Number
1063789022
Provider Name
Lake Superior Community Health Center
Credential
Provider Entity Type
Organization
Address
2222 E 5Th St, Superior, WI, 54880-3709
Phone Number
715-392-1955
Fax Number
715-392-1935
Provider Enumeration Date
11/18/2011
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2222 E 5Th St
City
State
Zip
54880-3709
Phone Number
715-392-1955
Fax Number
715-392-1935
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.
()
Definition
Definition to come...
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