1. Home
  2. Directory
  3. Minnesota
  4. Carlton
  5. Clinic Center
  6. NPI Profile

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: July 19, 2026.

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, 2024
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
Open in Google Maps ↗

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
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
MS. LEEANN CHRISTIANSEN RDH
Dental Hygienist
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

What is LAKE SUPERIOR COMMUNITY HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1760013700, enumerated as an "organization" on January 29, 2020.

Where is the provider located?

The provider is located at 210 3RD ST CARLTON, MN 55718 and the phone number is (218) 336-3524.

What is the provider's specialty?

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