Lake Superior Community Health Center in Superior - Federally Qualified Health Center (fqhc)

Lake Superior Community Health Center - NPI 1699708297

Lake Superior Community Health Center is a Federally Qualified Health Center (fqhc) in Superior, Wisconsin. Lake Superior Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Lake Superior Community Health Center is 1699708297. The last update date is 2023-11-10.

Lake Superior Community Health Center's current location address is 2222 E 5th St, Superior, Wisconsin. You can contact this provider via phone number 7153921955 and fax number 7153921935. The mailing address for Lake Superior Community Health Center is 2222 E 5th St, Superior, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Superior Community Health Center
Address 2222 E 5th St, Superior, Wisconsin
Phone Number 7153921955
Fax Number 7153921935
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INTERIM CE
Authorized Official Name Homan Lee
Telephone Number 7153951955

NPI Number Detail

NPI Number 1699708297
Provider Enumeration Date 2006-07-08
Last Updated Date 2023-11-10

Provider Mailing Address Detail

Address 2222 E 5th St
City Superior
State Wisconsin (WI)
Post Code 548803709
Phone Number 7153921955
Fax Number 7153921935

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

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FAQs about Lake Superior Community Health Center

What is the unique provider identifier assigned to Lake Superior Community Health Center?

The Lake Superior Community Health Center has been issued the NPI (National Provider Identifier) 1699708297 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Lake Superior Community Health Center is geographically located?

The Lake Superior Community Health Center is physically situated at the following location: 2222 E 5Th St, Superior, WI, 548803709.

What is Lake Superior Community Health Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lake Superior Community Health Center is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699708297 to Lake Superior Community Health Center?

The Centers for Medicare & Medicaid Services originally issued the 1699708297 to Lake Superior Community Health Center on 2006-07-08.

As of what date was the information pertaining to Lake Superior Community Health Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lake Superior Community Health Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-10.

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