OrganizationActive
Lake Superior Community Health Center
NPI 1639684384 · Federally Qualified Health Center (FQHC) · Superior, WI
Provider details
- NPI number
- 1639684384
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Jessie Peterson, Coo
Practice location
1500 N 34th St Ste 200
Superior, WI 54880-4477
Phone: (715) 395-5380
Fax: (715) 394-2682
Mailing address
1500 N 34th St
Superior, WI 54880-4477
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2021-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.