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

Get Directions Reviews

  • 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 4 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

Reviews for LAKE SUPERIOR COMMUNITY HEALTH CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639684384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691288316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 8 + 8 + 3 + 1 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639684384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1043748833 NATALIE SELL
Individual
Case Manager/Care Coordinator1500 N 34TH ST STE 200
SUPERIOR, WI 54880
(715) 392-8216
1033427836MS. KATHRYN EVERSON
Individual
Counselor (Professional)1500 N 34TH ST STE 200
SUPERIOR, WI 54880
(715) 395-5380
1467859637 PAIGE M KONRAD LMFT, LPC
Individual
Counselor (Professional)1500 N 34TH ST STE 200
SUPERIOR, WI 54880
(715) 395-5380
1306366414 NICHOLAS J KUVAAS
Individual
Case Manager/Care Coordinator1500 N 34TH ST STE 200
SUPERIOR, WI 54880
(715) 392-8216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639684384, enumerated in the NPI registry 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

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on December 04, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.