LAKEWOOD HEALTH CENTER (NPI# 1346215084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346215084 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH CENTER |
| Other Organization Name | LAKEWOOD HEALTH CENTER SWING BED |
| Practice Address |
600 Main Ave S Baudette MN 56623-2855 |
| Practice Telephone | 2186342120 |
| Practice Fax Number | 2186341307 |
| Mailing Telephone | 2186342120 |
| Mailing Fax Number | 2186341307 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHARRAY A PALM (CEO) |
| Authorized Official Telephone | 2186343401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 331065 | MN | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS | 1535ETR | 01 |
| Other Name | Type Code |
|---|---|
| LakeWood Health Center Swing Bed | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508914995 | Lakewood Health Center | Public Health or Welfare | 1855 Jonesboro Road Se, Atlanta, GA 30315 | 2007-01-08 |
| 1548524648 | Lakewood Health Center | Assisted Living Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2012-07-03 |
| 1659511335 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-02-20 |
| 1972799237 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2007-09-20 |
| 1487713509 | Lakewood Health Center | Public Health or Welfare | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-12-06 |
| 1538245386 | Lakewood Health Center | Nursing Facility/Intermediate Care Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-10-27 |
| 1104850924 | Lakewood Health Center | Hospice Care, Community Based | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-07-10 |
| 1699707216 | Lakewood Health Center | Home Health | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-07-06 |
| 1922072776 | Lakewood Health Center | General Acute Care Hospital | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-02-16 |
| Street Address |
600 MAIN AVE S |
| City | BAUDETTE |
| State | MN |
| Zip Code | 56623-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178617 | Christopher Kelley Mcgraw | Neuromusculoskeletal Medicine & OMM | 600 Main Ave S, Baudette, MN 56623-2855 | 2005-10-14 |
| 1265066245 | Ashley Malchow | Registered Nurse | 600 Main Ave S, Baudette, MN 56623-2855 | 2020-02-27 |
| 1093288789 | Muhammad Arshad Bhalli | Physician Assistant | 600 Main Ave S, Baudette, MN 56623-2855 | 2019-01-06 |
| 1952884041 | Audrey Jean Brasel | Nurse Practitioner | 600 Main Ave S, Baudette, MN 56623-2855 | 2018-09-13 |
| 1013452333 | Michelle A Brown | Nurse Practitioner | 600 Main Ave S, Baudette, MN 56623-2855 | 2016-12-21 |
| 1548524648 | Lakewood Health Center | Assisted Living Facility | 600 Main Ave S, Baudette, MN 56623-2855 | 2012-07-03 |
| 1285947556 | Justin Quo | Family Medicine | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-07-15 |
| 1174840672 | Gabriel Dan Mooney | Dietitian, Registered | 600 Main Ave S, Baudette, MN 56623-2855 | 2010-04-23 |
| 1659511335 | Lakewood Health Center | Clinic/Center | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-02-20 |
| 1972740488 | Saravana K Balaraman | Family Medicine | 600 Main Ave S, Baudette, MN 56623-2855 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380680 | Lake of The Woods County Social Services | Public Health or Welfare | 206 8th Ave. Se, Suite 200, Baudette, MN 56623 | 2007-02-07 |
| 1225183981 | Cja Consulting, Inc. | Psychologist | 106 8th Ave Se, Suite 200, Baudette, MN 56623 | 2007-01-24 |
| 1164504049 | Independent School District No 390 | Local Education Agency (LEA) | 236 15th Ave Sw, Baudette, MN 56623 | 2006-10-19 |
| 1811993421 | Constance Anderson Aagard | Psychologist | 106 8th Ave. Se, Baudette, MN 56623 | 2005-06-28 |
| 1730184797 | David Clark Wohlrabe | Dentist | 406 Main St. Nw, Baudette, MN 56623-0546 | 2005-06-16 |
| 1568591097 | Davy L Nesmoe | Chiropractor | 204 Main Ave North, Baudette, MN 56623-1039 | 2007-03-02 |
| 1447255385 | Smn Inc | Pharmacy | 111 N Main Ave, Baudette, MN 56623-2466 | 2005-06-16 |
| 1639782311 | Brennin Kyle O'brien | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2020-08-24 |
| 1477053577 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 111 N Main Ave, Baudette, MN 56623-2466 | 2018-02-15 |
| 1598947533 | Stuart Michael Noble | Pharmacist | 111 N Main Ave, Baudette, MN 56623-2466 | 2007-12-01 |
| Find all providers in zip 56623 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 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.