LAKE VIEW MEMORIAL HOSPITAL, INC (NPI# 1205196086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205196086 |
| Entity Type | Organization |
| Organization Name | LAKE VIEW MEMORIAL HOSPITAL, INC |
| Other Organization Name | LAKE VIEW MEMORIAL HOSPITAL |
| Practice Address |
325 11th Ave Two Harbors MN 55616-1300 |
| Practice Telephone | 2188347300 |
| Mailing Telephone | 2188347300 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | BRIAN CARLSON (CEO) |
| Authorized Official Telephone | 2188347300 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKE VIEW MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Lake View Memorial Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194344044 | Lake View Memorial Hospital, Inc | Family Medicine | 50 Outer Dr, Silver Bay, MN 55614-1102 | 2020-04-10 |
| 1063500528 | Lake View Memorial Hospital, Inc | Skilled Nursing Facility | 325 11th Ave, Two Harbors, MN 55616-1300 | 2006-10-10 |
| Street Address |
325 11TH AVE |
| City | TWO HARBORS |
| State | MN |
| Zip Code | 55616-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067642 | Lake View Memorial Hospital, Incorporated | General Acute Care Hospital | 325 11th Ave, Two Harbors, MN 55616 | 2006-05-09 |
| 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 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
| 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.