institution
Lake Superior Community Health Center
Primary Care Clinic/Center in Duluth, Minnesota
NPI 1568832277

Lake Superior Community Health Center is a Primary Care Clinic/Center based in Superior, MN and is specialized in Primary Care. Lake Superior Community Health Center practices in Duluth, MN. The NPI Number for Lake Superior Community Health Center is 1568832277 and holds a License No. (Minnesota).

The current practice location address for Lake Superior Community Health Center is 4325 Grand Ave, Duluth, MN and can be reached out via phone at 218-722-1497 and via fax at 218-727-8346.

Location: 4325 Grand Ave, Duluth, MN, 54880-5589
institution
Provider Profile Details
NPI Number
1568832277
Provider Name
Lake Superior Community Health Center
Credential
Provider Entity Type
Organization
Address
4325 Grand Ave, Duluth, MN, 54880-5589
Phone Number
218-722-1497
Fax Number
218-727-8346
Provider Enumeration Date
10/07/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4325 Grand Ave
City
State
Zip
55807-2730
Phone Number
218-722-1497
Fax Number
218-727-8346
person
Provider Business Mailing Address Details
Address
4325 Grand Ave
City
State
Zip
55807-2730
Phone Number
218-722-1497
Fax Number
218-727-8346
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
R 228856-1 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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