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 4325 Grand Ave, Duluth, Minnesota. For appointments, you can reach them via phone at (218) 722-1497. 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 1699708297. 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) 722-1497.

Contact Information

	Lake Superior Community Health Center
	4325 Grand Ave Duluth MN 55807-2730
	(218) 722-1497
	(218) 722-6239

Map and Direction

Primary Care Clinic Profile

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 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 4325 Grand Ave Duluth MN 55807-2730 Ph: (218) 722-1497

NPI Details:

NPI Number	1699708297
Provider Enumeration Date	07/08/2006
Last Update Date	02/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	6608810031
Medicare Enrollment ID	O20050615001058

Medical Identifiers

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

Identifier	Type	State	Issuer
1699708297	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

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4702 Grand Ave, Duluth, MN 55807 Phone: 218-249-6800
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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