LAKEWOOD HEALTH CENTER (NPI# 1922072776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922072776 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH CENTER |
| Other Organization Name | CHI LAKEWOOD HEALTH |
| Practice Address |
600 Main Ave S Baudette MN 56623-2855 |
| Practice Telephone | 2186342120 |
| Practice Fax Number | 2186341016 |
| Mailing Telephone | 2186342120 |
| Mailing Fax Number | 2186341016 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | JEFFRY A STAMPOHAR (PRESIDENT) |
| Authorized Official Telephone | 2186342120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
331065 | MN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS OF MINNESOTA | 1535HTR | 01 |
| MN | 199245700 | 05 |
| Other Name | Type Code |
|---|---|
| CHI Lakewood Health | Doing Business As Name - 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 |
| 1346215084 | Lakewood Health Center | Medicare Defined Swing Bed Unit | 600 Main Ave S, Baudette, MN 56623-2855 | 2006-02-17 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
| 1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
| 1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
| 1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
| 1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
| 1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
| 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.