Lake Superior Community Health Center - Medicare Primary Care 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

Primary Care Clinic Profile

Full NameLake Superior Community Health Center
SpecialityClinic/Center
Location4602 Grand Ave Ste 1000, Duluth, Minnesota
Authorized Official Name and PositionLee Homan (CEO)
Authorized Official Contact7153921955
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Number1013556638
Provider Enumeration Date12/30/2019
Last Update Date02/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6608810031
Medicare Enrollment IDO20200904000311

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Medical Identifiers

Medical identifiers for Lake Superior Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013556638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

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