Provider / Organization | NPI | Date Certified |
---|---|---|
LAKE SUPERIOR COMMUNITY HEALTH CENTER | 1063789022 | 2011-11-18 |
The organization Lake Superior Community Health Center is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1063789022. Registration indicates Lake Superior Community Health Center is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Federally Qualified Health Center (FQHC),, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Federally Qualified Health Center (FQHC),, Ambulatory Health Care Facilities) (Clinic/Center, )
Code | Practice | License No State |
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261QF0400X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Federally Qualified Health Center (FQHC), FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Clinic/Center Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities Clinic/Center |