LAKEWOOD HEALTH SYSTEM (NPI# 1922099092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922099092 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH SYSTEM |
| Other Organization Name | LAKEWOOD HEALTH SYSTEM HOSPICE |
| Practice Address |
401 Prairie Ave Ne Staples MN 56479-3201 |
| Practice Telephone | 2188941515 |
| Practice Fax Number | 2188987596 |
| Mailing Telephone | (218) 894-1515 |
| Mailing Fax Number | 2188987596 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | CRAIG T WOLHOWE (VICE PRESIDENT) |
| Authorized Official Telephone | 2188948600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 376567 | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Lakewood Health System Hospice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131058 | Lakewood Health System | Durable Medical Equipment & Medical Supplies | 221 Lake St S, Suite 102, Long Prairie, MN 56347-7121 | 2013-05-15 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| 1932140837 | Lakewood Health System | Pharmacy | 49725 County Road 83, Staples, MN 56479 | 2006-06-10 |
| 1902897077 | Lakewood Health System | Clinic/Center | 30535 241st Ave, Browerville, MN 56438 | 2005-10-28 |
| 1093706160 | Lakewood Health System | Clinic/Center | 815 Hwy 71 South, Eagle Bend, MN 56446 | 2005-10-28 |
| 1912998089 | Lakewood Health System | Clinic/Center | 1233 Highway 10 S, Motley, MN 56466-8209 | 2005-10-28 |
| 1699766733 | Lakewood Health System | Nursing Facility/Intermediate Care Facility | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2005-10-28 |
| 1811988983 | Lakewood Health System | Clinic/Center | 653 Pillsbury Street North, Suite 1, Pillager, MN 56473 | 2005-10-28 |
| 1053911545 | Lakewood Health System | Non-Pharmacy Dispensing Site | 49725 County Rd 83, Staples, MN 56479 | 2020-10-26 |
| Street Address |
401 PRAIRIE AVE NE |
| City | STAPLES |
| State | MN |
| Zip Code | 56479-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766733 | Lakewood Health System | Nursing Facility/Intermediate Care Facility | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2005-10-28 |
| 1881074367 | Heidi Marie Hoppe | Clinical Nurse Specialist | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2015-06-01 |
| 1316147523 | Lakewood Health System | Psychiatric Hospital | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2007-07-25 |
| 1477544542 | Lakewood Health System | Home Health | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758471 | Hpm of Minnesota Pllc | Clinic/Center | 49725 Co Rd 83, Staples, MN 56479 | 2020-10-21 |
| 1639596505 | Barbara Kaneski I | Nurse Practitioner | 49725 Cty 83, Staples, MN 56479 | 2014-03-27 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1821366683 | Staples Eye Clinic Psc | Optometrist | 922 Us 10 East, Staples, MN 56479 | 2011-12-08 |
| 1831364009 | Lani Longbellaroberts | Pharmacist | 49725 Cty Rd #83, Suite 100, Staples, MN 56479 | 2008-04-28 |
| 1316121858 | Seasons Adult Foster Care | Intermediate Care Facility, Mental Illness | 310 Wisconson Ave Se, Staples, MN 56479 | 2007-12-19 |
| 1881757169 | Peter Joseph Brenny | Dentist | 212 4th St Ne, Staples, MN 56479 | 2006-12-18 |
| 1063571446 | Longbella Drug Inc | Pharmacy | 49725 County Rd 83, Suite 100, Staples, MN 56479 | 2006-12-08 |
| 1932140837 | Lakewood Health System | Pharmacy | 49725 County Road 83, Staples, MN 56479 | 2006-06-10 |
| 1922057421 | St. Cloud Hospital | Clinic/Center | 403 East Prairie Ave, Staples, MN 56479 | 2006-05-10 |
| Find all providers in zip 56479 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 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.