| Lake Superior Community Health Center | |
|
4325 Grand Ave Duluth MN 55807-2730 | |
| (218) 722-1497 | |
| (218) 722-6239 |
| Full Name | Lake Superior Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4325 Grand Ave, Duluth, Minnesota |
| Authorized Official Name and Position | Lee Homan (CEO) |
| Authorized Official Contact | 7153951955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 4325 Grand Ave Duluth MN 55807-2730 Ph: (218) 722-1497 |
| NPI Number | 1699708297 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 6608810031 |
|---|---|
| Medicare Enrollment ID | O20050615001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699708297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lake Superior Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4602 Grand Ave Ste 1000, Duluth, MN 55807 Phone: 218-336-3520 Fax: 218-624-6097 | |
The Well - Duluth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4316 Rice Lake Rd, Duluth, MN 55811 Phone: 952-205-1252 | |
Aspirus St Lukes Clinic Duluth Grand Ave Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6800 | |
Aspirus St Lukes Qcare 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 | |
Arbor 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 |