Lake Superior Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Carlton, Minnesota. The current practice location for Lake Superior Community Health Center is 210 3rd St, Carlton, Minnesota. For appointments, you can reach them via phone at
(218) 336-3524. The mailing address for Lake Superior Community Health Center is 2222 E 5th St, Superior, Wisconsin and phone number is (715) 392-1955.
Lake Superior Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1760013700. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(218) 336-3524.
Primary Care Clinic Profile
| Full Name | Lake Superior Community Health Center |
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| Speciality | Clinic/Center |
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| Location | 210 3rd St, Carlton, Minnesota |
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| Authorized Official Name and Position | Lee Homan (CEO) |
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| Authorized Official Contact | 7153921955 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lake Superior Community Health Center
2222 E 5th St
Superior
WI 54880-3709
Ph: (715) 392-1955 | Lake Superior Community Health Center
210 3rd St
Carlton
MN 55718-7703
Ph: (218) 336-3524 |
NPI Details:
| NPI Number | 1760013700 |
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| Provider Enumeration Date | 01/29/2020 |
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| Last Update Date | 02/13/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6608810031 |
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| Medicare Enrollment ID | O20211111000032 |
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Medical Identifiers
Medical identifiers for Lake Superior Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760013700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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