institution
Lake Superior Community Health Center
Federally Qualified Health Center (FQHC) in Duluth, Minnesota
NPI 1699708297

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 1699708297 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 218-722-6239.

Location: 4325 Grand Ave, Duluth, MN, 54880-3709
institution
Provider Profile Details
NPI Number
1699708297
Provider Name
Lake Superior Community Health Center
Credential
Provider Entity Type
Organization
Address
4325 Grand Ave, Duluth, MN, 54880-3709
Phone Number
218-722-1497
Fax Number
218-722-6239
Provider Enumeration Date
07/08/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4325 Grand Ave
City
State
Zip
55807-2730
Phone Number
218-722-1497
Fax Number
218-722-6239
person
Provider Business Mailing Address Details
Address
4325 Grand Ave
City
State
Zip
55807-2730
Phone Number
218-722-1497
Fax Number
218-722-6239
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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