Lake Superior Community Health Center
Federally qualified health center in Superior, WI, Medicare certification number 521877.
Medicare certification
Provider of Services- CCN
- 521877
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Nov 16, 2021
- Last certification
- Nov 16, 2021
- Address
- 2222 E 5TH St
Superior, WI 54880
(715) 395-5389
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Superior, WI
- NPI 1063789022
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.