LAKE REGION CORPORATION (NPI# 1740887702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740887702 |
| Entity Type | Organization |
| Organization Name | LAKE REGION CORPORATION |
| Practice Address |
224 3rd St Nw Devils Lake ND 58301-2908 |
| Practice Telephone | 7016628681 |
| Mailing Telephone | 7016628681 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | SANDRA SVEDBERG (CFO) |
| Authorized Official Telephone | 7016628681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1455784 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251153 | Lake Region Corporation | Community/Behavioral Health | 116 20th St Ne, Devils Lake, ND 58301-1616 | 2020-10-06 |
| 1790302420 | Lake Region Corporation | Intermediate Care Facility, Mentally Retarded | 2017 Highway 20, Devils Lake, ND 58301-8650 | 2020-06-29 |
| 1871659797 | Lake Region Corporation | Intermediate Care Facility, Mental Illness | 923 6th Ave Ne, Devils Lake, ND 58301-2210 | 2006-12-28 |
| 1689271355 | Lake Region Corporation | Community/Behavioral Health | 224 3rd St Nw, Devils Lake, ND 58301-2908 | 2020-10-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAKE REGION CORPORATION | 224 3rd St Nw, Devils Lake, ND 58301-2908 |
| Street Address |
224 3RD ST NW |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271355 | Lake Region Corporation | Community/Behavioral Health | 224 3rd St Nw, Devils Lake, ND 58301-2908 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251153 | Lake Region Corporation | Community/Behavioral Health | 116 20th St Ne, Devils Lake, ND 58301-1616 | 2020-10-06 |
| 1114311685 | Lisa Shuster | Community/Behavioral Health | 715 13th Ave Ne, #307, Devils Lake, ND 58301-2300 | 2015-03-23 |
| 1689271355 | Lake Region Corporation | Community/Behavioral Health | 224 3rd St Nw, Devils Lake, ND 58301-2908 | 2020-10-06 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| 1700026317 | Advanced Counseling for Change, Pllc | Community/Behavioral Health | 424 3rd St Se, Devils Lake, ND 58301-3605 | 2009-02-23 |
| 1205009123 | Hope Unlimited Inc | Community/Behavioral Health | 400 12th Ave Ne, Suite D, Devils Lake, ND 58301-2709 | 2008-04-11 |
| 1487824587 | Country Counseling & Consulting, Inc | Community/Behavioral Health | 400 12th Ave Ne, Devils Lake, ND 58301-2712 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619962 | Alpha Opportunities, Inc. | Community/Behavioral Health | 705 14th St Ne, Jamestown, ND 58401-2626 | 2020-11-06 |
| 1811598758 | Alpha Opportunities, Inc. | Community/Behavioral Health | 906 9th Ave Ne, Jamestown, ND 58401-6503 | 2020-11-06 |
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1558961391 | Hit Inc. | Community/Behavioral Health | 1007 18th St Nw, Mandan, ND 58554-1639 | 2020-10-30 |
| 1922608330 | Red River Human Services Foundation | Community/Behavioral Health | 608 4th St S, Wahpeton, ND 58075-4741 | 2020-10-27 |
| 1942800263 | Red River Human Services Foundation | Community/Behavioral Health | 808 6th St S, Wahpeton, ND 58075-4801 | 2020-10-27 |
| 1134729478 | Red River Human Services Foundation | Community/Behavioral Health | 812 6th St S, Wahpeton, ND 58075-4870 | 2020-10-27 |
| 1114527322 | 4th Corporaiton | Community/Behavioral Health | 1006 2nd Avenue North, New Rockford, ND 58356 | 2020-10-27 |
| 1295335495 | 4th Corporaiton | Community/Behavioral Health | 120 11th Street North, New Rockford, ND 58356 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
Please comment or provide details below to improve the information on LAKE REGION CORPORATION.
| 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.