LAKEWOOD HEALTH SYSTEM (NPI# 1932468683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932468683 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD HEALTH SYSTEM |
| Other Organization Name | NORTHERN PINES MENTAL HEALTH CENTER |
| Practice Address |
401 Prairie Ave. N. 49725 Co. Hwy 83 Staples MN 56479 |
| Practice Telephone | 2188948204 |
| Practice Fax Number | 2188948219 |
| Mailing Telephone | 2188948204 |
| Mailing Fax Number | 2188948219 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | NANCY J RACH (COUNSELOR) |
| Authorized Official Telephone | 2186401992 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
CC00293 | MN | Hospitals |
| N | 302R00000X | Health Maintenance Organization | CC00293 | MN | Managed Care Organizations |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CC00293 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northern Pines Mental Health Center | 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 |
| 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 |
| 1316147523 | Lakewood Health System | Psychiatric Hospital | 401 Prairie Ave Ne, Staples, MN 56479-3201 | 2007-07-25 |
| Street Address |
401 PRAIRIE AVE. N. 49725 CO. HWY 83 |
| City | STAPLES |
| State | MN |
| Zip Code | 56479 |
| 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 |
| 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 |
| 1801844691 | Zachary Bailey | Dentist | 515 6th St Ne, Staples, MN 56479 | 2006-05-04 |
| Find all providers in zip 56479 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1780207829 | Amazing You Therapy, LLC | Clinic/Center | 421 1st Ave Sw Ste 300w, Rochester, MN 55902-3389 | 2020-05-23 |
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| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1235763814 | Monarch Wellness LLC | Clinic/Center | 51 E 4th St Ste 309, Winona, MN 55987-3791 | 2020-02-23 |
| 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.