National Provider Identifier Database

LAKE SUPERIOR COMMUNITY HEALTH CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

LAKE SUPERIOR COMMUNITY HEALTH CENTER
2222 E 5TH ST
SUPERIOR, WI54880-3709
Phone: 715-392-1955
Fax: 715-392-1935
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for LAKE SUPERIOR COMMUNITY HEALTH CENTER

NPI Number 1063789022
Legal business name
LBN
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Authorized official LEE HOMAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/18/2011
Last updated 02/13/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LAKE SUPERIOR COMMUNITY HEALTH CENTER

There are currently no reviews for LAKE SUPERIOR COMMUNITY HEALTH CENTER


NPIdb - Home
v2.201