LAKEWOOD HEALTH SYSTEM (NPI# 1669759866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669759866 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH SYSTEM |
| Other Organization Name | LAKEWOOD DERMATOLOGY |
| Practice Address |
161 19th St S Ste 106 Sartell MN 56377 |
| Mailing Address |
49725 County 83 Staples MN 56479-5280 |
| Practice Telephone | 3202523376 |
| Practice Fax Number | 2188987597 |
| Mailing Telephone | 2188941515 |
| Mailing Fax Number | 2188987596 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2018-06-08 |
| Authorized Official Name | CRAIG T WOLHOWE (VICE PRESIDENT) |
| Authorized Official Telephone | 2188948600 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKEWOOD HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakewood Dermatology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131058 | Lakewood Health System | Durable Medical Equipment & Medical Supplies | 221 Lake St S, Suite 102, Long Prairie, MN 56347-7121 | 2013-05-15 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1932140837 | Lakewood Health System | Pharmacy | 49725 County Road 83, Staples, MN 56479 | 2006-06-10 |
| 1902897077 | Lakewood Health System | Clinic/Center | 30535 241st Ave, Browerville, MN 56438 | 2005-10-28 |
| 1093706160 | Lakewood Health System | Clinic/Center | 815 Hwy 71 South, Eagle Bend, MN 56446 | 2005-10-28 |
| 1912998089 | Lakewood Health System | Clinic/Center | 1233 Highway 10 S, Motley, MN 56466-8209 | 2005-10-28 |
| 1699766733 | Lakewood Health System | Nursing Facility/Intermediate Care Facility | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2005-10-28 |
| 1811988983 | Lakewood Health System | Clinic/Center | 653 Pillsbury Street North, Suite 1, Pillager, MN 56473 | 2005-10-28 |
| 1053911545 | Lakewood Health System | Non-Pharmacy Dispensing Site | 49725 County Rd 83, Staples, MN 56479 | 2020-10-26 |
| 1316147523 | Lakewood Health System | Psychiatric Hospital | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2007-07-25 |
| Street Address |
161 19TH ST S STE 106 |
| City | SARTELL |
| State | MN |
| Zip Code | 56377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1720387624 | Sleep Therapy | Durable Medical Equipment & Medical Supplies | 2157 Troop Dr Ste 100, Sartell, MN 56377 | 2011-03-18 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932698040 | Acupuncture & Natural Health | Clinic/Center | 2177 Troop Dr, Sartell, MN 56377-4563 | 2018-05-03 |
| 1154839660 | Vandalia Health, Pllc | Clinic/Center | 2304 Wyoming Ct, Sartell, MN 56377-4562 | 2018-01-18 |
| 1861790032 | Allina Health System | Clinic/Center | 2000 23rd St S, Suite 320, Sartell, MN 56377-4765 | 2011-03-11 |
| 1497059141 | Rejuv Medical | Clinic/Center | 2330 Troop Dr Unit 105a, Sartell, MN 56377-4733 | 2011-01-10 |
| 1457395261 | Allina Health System | Clinic/Center | 2000 Abbott Nw Ct, Suite 205, Sartell, MN 56377-4200 | 2006-06-15 |
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|---|---|---|---|---|
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| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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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.