Organization Name: | LAKEWOOD HEALTH SYSTEM |
NPI Number: | 1003807173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG T WOLHOWE (VICE PRESIDENT) |
Mailing Address: | 49725 County 83 Staples |
State: | MN US |
Postal Code: | 564795280 |
Phone Number: | 2188941515 |
Fax Number: | 2188941316 |
NPI Enumeration Date: | 10/28/2005 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |