LAKE VIEW MEMORIAL HOSPITAL, INC. (NPI# 1932246923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932246923 |
| Entity Type | Organization |
| Organization Name | LAKE VIEW MEMORIAL HOSPITAL, INC. |
| Practice Address |
325 11th Ave Two Harbors MN 55616-1300 |
| Practice Telephone | 2188347300 |
| Practice Fax Number | 2188347388 |
| Mailing Telephone | 2188347300 |
| Mailing Fax Number | 2188347388 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN CARLSON (PRESIDENT CEO) |
| Authorized Official Telephone | 2188347300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 300411 | 01 |
| MN | PREFERRED ONE | 01016526 | 01 |
| MN | MEDICA | 3940403 | 01 |
| MN | BLUE CROSS MINNESOTA | 50326LA | 01 |
| MN | HEALTHPARTNERS | 2718 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609913870 | Lake View Memorial Hospital, Inc. | Assisted Living Facility | 806 13th Ave, Two Harbors, MN 55616-1268 | 2007-01-30 |
| 1245328707 | Lake View Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 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 |
| 1205196086 | Lake View Memorial Hospital, Inc | Non-Pharmacy Dispensing Site | 325 11th Ave, Two Harbors, MN 55616-1300 | 2012-05-25 |
| 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 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1366968448 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 5507 Chateau Rd Nw, Rochester, MN 55901-0136 | 2017-08-21 |
| 1205366713 | St Francis Regional Medical Center | Emergency Medicine | 1451 Adams St S, Shakopee, MN 55379-2697 | 2017-06-16 |
| 1568991883 | Renzhong Ran | Emergency Medicine | 800 E. 28th Street Mr#11112, Minneapolis, MN 55407 | 2017-06-09 |
| 1164957619 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 2317 Bemidji Ave N, Bemidji, MN 56601-2316 | 2017-04-21 |
| 1053843581 | Joshua Anthony Bailey | Emergency Medicine | 800 E 28th St # 1112, Minneapolis, MN 55407-3723 | 2017-04-03 |
| 1841739240 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 501 W Central Entrance, Duluth, MN 55811-5447 | 2017-02-17 |
| 1003364720 | Medexpress Urgent Care Minnesota P.C. | Emergency Medicine | 1963 Robert St S, Suite 200, West St Paul, MN 55118-3942 | 2016-09-12 |
| 1942662051 | Medexpress Urgent Care Minnesota, P.C. | Emergency Medicine | 16895 County Road 24, Plymouth, MN 55447-1290 | 2016-03-28 |
| 1083076681 | Kendra Elm | Emergency Medicine | 800 E 28th St # Mr 11122, Minneapolis, MN 55407-3799 | 2016-03-23 |
| 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.