LAKE VIEW MEMORIAL HOSPITAL, INCORPORATED (NPI# 1023067642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023067642 |
| Entity Type | Organization |
| Organization Name | LAKE VIEW MEMORIAL HOSPITAL, INCORPORATED |
| Practice Address |
325 11th Ave Two Harbors MN 55616 |
| Mailing Address |
325 11th Ave Two Harbors MN 55616-1300 |
| Practice Telephone | 2188347300 |
| Practice Fax Number | 2188347388 |
| Mailing Telephone | 2188347300 |
| Mailing Fax Number | 2188347388 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | GREG GARRETT RUBERG (PRESIDENT / CEO) |
| Authorized Official Telephone | 2188347345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
331064 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS MINNESOTA | 1886HLA | 01 |
| MN | PREFERRED ONE | 01016526 | 01 |
| MEDICA | 5000116 | 01 | |
| MN | UCARE MINNESOTA | UCARE | 01 |
| HEALTHPARTNERS | 2718 | 01 | |
| MN | 739045900 | 05 |
| Street Address |
325 11TH AVE |
| City | TWO HARBORS |
| State | MN |
| Zip Code | 55616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989604 | Abigail Marie Lingwall | Social Worker | 325 11th Ave, Two Harbors, MN 55616-1300 | 2020-10-13 |
| 1851918593 | Shana Lea Roberts | Social Worker | 325 11th Ave, Two Harbors, MN 55616-1300 | 2020-06-29 |
| 1154840379 | Lanna L Schwab | Acupuncturist | 325 11th Ave, Two Harbors, MN 55616-1300 | 2017-09-19 |
| 1205196086 | Lake View Memorial Hospital, Inc | Non-Pharmacy Dispensing Site | 325 11th Ave, Two Harbors, MN 55616-1300 | 2012-05-25 |
| 1588936884 | Lake View Urgent Care | Clinic/Center | 325 11th Ave, Two Harbors, MN 55616-1300 | 2012-02-01 |
| 1013233873 | Just Kids Dental Inc | Dental Hygienist | 325 11th Ave, Two Harbors, MN 55616-1300 | 2010-04-19 |
| 1376663468 | Human Development Center | Case Management | 325 11th Ave, Two Harbors, MN 55616-1300 | 2007-03-30 |
| 1932246923 | Lake View Memorial Hospital, Inc. | Emergency Medicine | 325 11th Ave, Two Harbors, MN 55616-1300 | 2007-01-31 |
| 1245328707 | Lake View Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 325 11th Ave, Two Harbors, MN 55616-1300 | 2006-10-10 |
| 1063500528 | Lake View Memorial Hospital, Inc | Skilled Nursing Facility | 325 11th Ave, Two Harbors, MN 55616-1300 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265582472 | Paul Martin Trygstad | Dentist | 123 Waterfront Drive, Two Harbors, MN 55616 | 2007-01-11 |
| 1457346223 | Lake County Ambulance Service | Ambulance | 421 20th Ave, Two Harbors, MN 55616 | 2005-09-16 |
| 1851818264 | Casandra Lynn Dallum | Dental Hygienist | Po Box 146, Two Harbors, MN 55616-0146 | 2017-08-25 |
| 1700922960 | Amy Lynn Phipps-poe | Physical Therapist | 1503 7th Ave, Two Harbors, MN 55616-1102 | 2007-01-29 |
| 1891018883 | Vision Pro Optical | Optometrist | 1028 7th Ave, Two Harbors, MN 55616-1149 | 2010-03-05 |
| 1619015922 | Sally Elizabeth Stout | Chiropractor | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-02-01 |
| 1871623769 | Stout Chiropractic Care, Sc | Clinic/Center | 1026 7th Ave, Two Harbors, MN 55616-1149 | 2007-03-07 |
| 1134150832 | Firstsolutions | Clinic/Center | 1010 4th St, Two Harbors, MN 55616-1200 | 2006-07-05 |
| 1205498631 | Amy Jo Suomi | Nurse Practitioner | 1010 4th St, Two Harbors, MN 55616-1200 | 2019-07-06 |
| 1245688878 | Eric Tolga Hanhan | Family Medicine | 1010 4th St, Two Harbors, MN 55616-1200 | 2016-05-24 |
| Find all providers in zip 55616 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| Find all providers with the same taxonomy | ||||
| City | TWO HARBORS |
| Zip Code | 55616 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.