Lake Superior Community Health Center
NPI 1063789022 · Federally Qualified Health Center (FQHC) · Superior, WI
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Superior Community Health Center is a Federally Qualified Health Center (FQHC) organization in Superior, WI (NPI 1063789022).
Provider details
- NPI number
- 1063789022
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Homan, Ceo(715) 392-1955
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-11-18
- Last updated
- 2024-02-13
- Certified
- 2024-02-13
Frequently asked questions
- What is Lake Superior Community Health Center's NPI number?
- Lake Superior Community Health Center's National Provider Identifier (NPI) is 1063789022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Superior Community Health Center?
- Lake Superior Community Health Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Lake Superior Community Health Center located?
- Lake Superior Community Health Center's practice location on file with NPPES is 2222 E 5th St, Superior, WI 54880-3709.
- What is Lake Superior Community Health Center's phone number?
- The practice phone number listed in the NPPES registry for Lake Superior Community Health Center is (715) 392-1955.
- Does Lake Superior Community Health Center accept Medicare?
- Lake Superior Community Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Superior Community Health Center?
- The authorized official listed on Lake Superior Community Health Center's NPPES record is Lee Homan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Superior Community Health Center's NPI active?
- Yes — Lake Superior Community Health Center's NPI (1063789022) is active in the NPPES registry as of the last update on 2024-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.