LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE (NPI# 1689762106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689762106 |
| Entity Type | Organization |
| Organization Name | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE |
| Other Organization Name | LAKEVIEW MEDICAL CENTER HOSPICE |
| Practice Address |
2304 S Main St Rice Lake WI 54868-2900 |
| Mailing Address |
1700 W Stout St Rice Lake WI 54868-5000 |
| Practice Telephone | 7152366256 |
| Mailing Telephone | 7152366256 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-08-06 |
| Authorized Official Name | MS. SYLVIA MARTHA BLAKEMAN (DIRECTOR) |
| Authorized Official Telephone | 7152366257 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 555 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43187300 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeview Medical Center Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320687 | Lakeview Medical Center, Inc. of Rice Lake | Clinic/Center | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-11-14 |
| 1215194907 | Lakeview Medical Center, Inc. of Rice Lake | Speech-Language Pathologist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-05-20 |
| 1154415024 | Lakeview Medical Center, Inc. of Rice Lake | General Acute Care Hospital | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2006-10-03 |
| 1326139049 | Lakeview Medical Center, Inc. of Rice Lake | Home Health | 2304 S Main St, Rice Lake, WI 54868-2900 | 2006-09-27 |
| Street Address |
2304 S MAIN ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142989 | Tillman Optometry LLC | Optometrist | 2304 S Main St, Rice Lake, WI 54868-2900 | 2005-11-21 |
| 1326139049 | Lakeview Medical Center, Inc. of Rice Lake | Home Health | 2304 S Main St, Rice Lake, WI 54868-2900 | 2006-09-27 |
| 1457330276 | Robert E Tillman | Optometrist | 2304 S Main St, Rice Lake, WI 54868-2900 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225236839 | Alpine Medical Alert, Inc | Hospice Care, Community Based | 2206a 21st St, Rice Lake, WI 54868 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317762 | Castle Senior Living, Inc | Hospice Care, Community Based | 13050 W Cleveland Ave, New Berlin, WI 53151-4013 | 2020-08-21 |
| 1982215307 | Moments Hospice of Appleton LLC | Hospice Care, Community Based | 806 Valley Rd Ste 1, Menasha, WI 54952-1120 | 2020-08-10 |
| 1992316319 | Moments Hospice of Madison LLC | Hospice Care, Community Based | 5315 Wall St Ste 135, Madison, WI 53718-7963 | 2020-08-10 |
| 1912531997 | Moments Hospice of Milwaukee | Hospice Care, Community Based | 1139 S Sunnyslope Dr Ste 200, Mt Pleasant, WI 53406-3998 | 2020-02-27 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1871052944 | Kenya Pratt | Hospice Care, Community Based | 5510 N 33rd St, Milwaukee, WI 53209-4834 | 2019-03-18 |
| 1518432749 | Brighton Hospice Wisconsin | Hospice Care, Community Based | 300 N Executive Dr Ste 110, Brookfield, WI 53005-6016 | 2018-10-03 |
| 1184136939 | Legacy Hospice Cares LLC | Hospice Care, Community Based | 850 Elm Grove Rd Ste 21, Elm Grove, WI 53122-2527 | 2017-11-02 |
| 1720523210 | Holistic Hospice Inc | Hospice Care, Community Based | 3422 W Howard Ave, Greenfield, WI 53221-1208 | 2016-12-20 |
| 1740722586 | Bani Inc | Hospice Care, Community Based | 7434 N Lannon Rd, Lannon, Lannon, WI 53046-9746 | 2016-11-10 |
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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.