Lake Superior Community Health Center in Duluth, MN

Lake Superior Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Duluth, Minnesota. The current practice location for Lake Superior Community Health Center is 4602 Grand Ave Ste 1000, Duluth, Minnesota. For appointments, you can reach them via phone at (218) 336-3520. 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 1013556638. 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) 336-3520.

Contact Information

	Lake Superior Community Health Center
	4602 Grand Ave Ste 1000 Duluth MN 55807-2712
	(218) 336-3520
	(218) 624-6097

Map and Direction

Primary Care Clinic Profile

Full Name	Lake Superior Community Health Center
Speciality	Clinic/Center
Location	4602 Grand Ave Ste 1000, Duluth, Minnesota
Authorized Official Name and Position	Lee Homan (CEO)
Authorized Official Contact	7153921955
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lake Superior Community Health Center 2222 E 5th St Superior WI 54880-3709 Ph: (715) 392-1955	Lake Superior Community Health Center 4602 Grand Ave Ste 1000 Duluth MN 55807-2712 Ph: (218) 336-3520

NPI Details:

NPI Number	1013556638
Provider Enumeration Date	12/30/2019
Last Update Date	02/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6608810031
Medicare Enrollment ID	O20200904000311

Medical Identifiers

Medical identifiers for Lake Superior Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013556638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Duluth, MN

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4316 Rice Lake Rd, Duluth, MN 55811 Phone: 952-205-1252
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6800
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 W Central Entrance, Duluth, MN 55811 Phone: 218-249-4987
St. Luke's Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5232
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E 1st St Ste 105, Duluth, MN 55805 Phone: 218-722-1122 Fax: 218-722-0600
Mission Creek Transitional Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Marshall St, Duluth, MN 55803 Phone: 218-340-8674

Lake Superior Community Health Center - Medicare Primary Care in Duluth, MN