LAKE SUPERIOR COMMUNITY HEALTH CENTER
NPI 1639684384
Clinic/Center - Federally Qualified Health Center (FQHC) in Superior, WI

NPI Status: Active since December 04, 2017

Contact Information

1500 N 34TH ST STE 200
SUPERIOR, WI
ZIP 54880
Phone: (715) 395-5380
Fax: (715) 394-2682

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About LAKE SUPERIOR COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Lake Superior Community Health Center, a primary care provider established in Superior, Wisconsin operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1639684384 assigned on December 2017. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Lake Superior Community Health Center. The authorized official of this NPI record is Jessie Peterson (Coo)

NPI
1639684384
Provider Legal Name
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Other Organization Name
LAKE SUPERIOR COMMUNITY HEALTH CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1500 N 34TH ST STE 200 SUPERIOR, WI 54880
Location Phone
(715) 395-5380
Location Fax
(715) 394-2682
Mailing Address
1500 N 34TH ST SUPERIOR, WI 54880
Mailing Phone
(715) 395-5380
Mailing Fax
(715) 394-2682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2017
Last Update Date
02-08-2021
Code Navigator

A primary care provider (PCP) like Lake Superior Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSIE PETERSON

Authorized Official Title
COO
Authorized Official Phone
(218) 722-1497

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639684384, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 2 + 8 + 8 + 3 + 1 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1639684384.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
1500 N 34TH ST STE 200
SUPERIOR, WI 54880
Counselor (Professional)
1500 N 34TH ST STE 200
SUPERIOR, WI 54880
Counselor (Professional)
1500 N 34TH ST STE 200
SUPERIOR, WI 54880
Case Manager/Care Coordinator
1500 N 34TH ST STE 200
SUPERIOR, WI 54880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639684384, enumerated as an "organization" on December 04, 2017.

The provider is located at 1500 N 34TH ST STE 200 SUPERIOR, WI 54880 and the phone number is (715) 395-5380.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).