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LAKE SUPERIOR COMMUNITY HEALTH CENTER
NPI 1760013700
Clinic/Center - Federally Qualified Health Center (FQHC) in Carlton, MN

Active since January 29, 2020
210 3RD ST, CARLTON, MN 55718(218) 336-3524(218) 384-9002 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2023, Feb 3, 2022, Oct 15, 2021 and 4 more (7 updates tracked since 2020).

About Lake Superior Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE SUPERIOR COMMUNITY HEALTH CENTER (NPI 1760013700) is a healthcare organization registered as a federally qualified health center (fqhc) in Carlton, Minnesota and active in the NPI registry since January 2020. The organization lists Lee Homan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760013700
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKE SUPERIOR COMMUNITY HEALTH CENTER
Location Address210 3RD STCarlton, MN 55718-7703
Mailing Address2222 E 5th StSuperior, WI 54880-3709 · (715) 392-1955 · Fax (715) 392-1935
Phone(218) 336-3524
Fax(218) 384-9002
Organization SubpartNo
Authorized OfficialLee HomanCeo · (715) 392-1955
Enumeration DateJanuary 29, 2020
Last NPPES UpdateFebruary 13, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1760013700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
210 3RD ST, Carlton, MN 55718
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES A ADAMCZAK DDS
Dentist (General Practice)
210 3RD ST
CARLTON, MN 55718
Carlton County (218) 336-3524
MS. LEEANN CHRISTIANSEN RDH
Dental Hygienist
210 3RD ST
CARLTON, MN 55718
Carlton County (218) 336-3524
KIRSTEN K KOMAREK RDH
Dental Hygienist
210 3RD ST
CARLTON, MN 55718
Carlton County (218) 336-3524
DR. JEFFREY JOHN BERTANI DDS
Dentist (General Practice)
210 3RD ST
CARLTON, MN 55718
Carlton County (218) 336-3524
DR. ERICK RUSSELL ANDERSON DC
Chiropractor
210 3RD ST
CARLTON, MN 55718
Carlton County (218) 336-3524
DR. STEVEN BOYD KOTTKE DDS
Dentist (General Practice)
210 3RD ST
CARLTON, MN 55718
Carlton County (218) 336-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Superior Community Health Center's NPI number?

The NPI number for Lake Superior Community Health Center is 1760013700. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Lake Superior Community Health Center located?

Lake Superior Community Health Center is located at 210 3rd St, Carlton, MN 55718. The listed phone number is (218) 336-3524.

What is Lake Superior Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lake Superior Community Health Center was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.