Lake Superior Community Health Center

NPI #1760013700 in Carlton, Minnesota

Provider Information

NPI Number
1760013700
Entity Type
Organization
Organization Name
Lake Superior Community Health Center
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jan 29, 2020
Last Updated
Feb 13, 2024

Practice Location

Address
210 3RD ST
ZIP Code
55718-7703
Phone
(218) 336-3524

Authorized Official

Name
LEE HOMAN
Title
CEO
Phone
(715) 392-1955

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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