LAKESIDE MEDICAL CENTER, INC (NPI# 1982859815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982859815 |
| Entity Type | Organization |
| Organization Name | LAKESIDE MEDICAL CENTER, INC |
| Practice Address |
129 6th Ave Se Pine City MN 55063-1913 |
| Practice Telephone | 3206292542 |
| Mailing Telephone | 3206292542 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | MAX T. BLAUFUSS (CEO) |
| Authorized Official Telephone | 3206292542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
338462 | MN | Hospitals |
| Street Address |
129 6TH AVE SE |
| City | PINE CITY |
| State | MN |
| Zip Code | 55063-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200355 | Lakeside Medical Center, Inc. | Skilled Nursing Facility | 129 6th Ave Se, Pine City, MN 55063-1913 | 2005-10-27 |
| 1790298891 | Samantha Lee Schwieger | Physical Therapy Assistant | 129 6th Ave Se, Pine City, MN 55063-1913 | 2017-11-10 |
| 1700840196 | Total Renal Care Inc | Clinic/Center | 129 6th Ave Se, Lakeside Medical Center, Pine City, MN 55063-1913 | 2006-04-13 |
| 1285698878 | Lakeside Medical Center, Inc. | General Acute Care Hospital | 129 6th Ave Se, Pine City, MN 55063-1913 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025595 | B&b Guardian Angels Home Care Services, Inc | Home Health | 27680 Beroun Crossing Road, Pine City, MN 55063 | 2020-02-21 |
| 1346684289 | Power Chairs and Scooter Store Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 540 Main St S, Pine City, MN 55063 | 2013-04-22 |
| 1225387327 | Avalon Meridian Behavioral Health | Health Maintenance Organization | 645 3rd Avenue Sw, Pine City, MN 55063 | 2012-09-05 |
| 1629226949 | Community Supports Programming Services LLC | Home Health | 500 3rd Ave Se, Suite 2, Pine City, MN 55063 | 2008-08-28 |
| 1033233788 | Meadow Creek LLC | Substance Abuse Rehabilitation Facility | 17305 Meadow Creek Lane, Pine City, MN 55063 | 2007-03-19 |
| 1477647006 | Rachel E Waxberg | Chiropractor | 805 Main Street South, Pine City, MN 55063 | 2006-10-03 |
| 1306947494 | Joseph Norbert Nilsson | Chiropractor | 253 5th St Se, Pine City, MN 55063 | 2006-09-25 |
| 1851324313 | Pine Eye Associates, Pa | Optometrist | 110 Evergreen Square, Pine City, MN 55063 | 2006-07-08 |
| 1053372656 | Kristie Ann Roberts | Dentist | 1105 Hillside Ave Sw, Pine City, MN 55063 | 2006-03-31 |
| 1114495827 | Kelly Ann Buchta | Social Worker | 220 Railroad St Se, Pine City, MN 55063 | 2018-11-12 |
| Find all providers in zip 55063 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285968123 | John William Stender | General Acute Care Hospital | Hwy 1 Phs Indian Hospital, Red Lake, MN 56671-0497 | 2009-09-24 |
| 1952766594 | Rc Hospital & Clinics | General Acute Care Hospital | 100 Healthy Way, Olivia, MN 56277-1117 | 2015-12-28 |
| 1912389719 | Melissa Jill Le | General Acute Care Hospital | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2015-06-29 |
| 1316386527 | St. Francis Health Care | General Acute Care Hospital | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-06-20 |
| 1366609950 | Sanford Health Network | General Acute Care Hospital | 1018 6th Ave, Worthington, MN 56187-2202 | 2008-05-21 |
| 1295872489 | Swift County Benson Hospital | General Acute Care Hospital | 640 Atlantic Ave, Benson, MN 56215-1381 | 2007-01-30 |
| 1255498432 | Cannon Falls Medical Center | General Acute Care Hospital | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2007-01-03 |
| 1891862702 | Rice Memorial Hospital | General Acute Care Hospital | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2006-11-29 |
| 1417990805 | Northfield Hospital | General Acute Care Hospital | 2000 North Ave, Northfield, MN 55057 | 2006-06-14 |
| 1396712618 | Sanford Health Network | General Acute Care Hospital | 1018 6th Ave, Worthington, MN 56187-2202 | 2006-03-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKESIDE MEDICAL CENTER, INC.
| 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.