| Organization Name: | LAKE VIEW MEMORIAL HOSPITAL, INC. |
| NPI Number: | 1023067642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN CARLSON (PRESIDENT / CEO) |
| Mailing Address: | 325 11th Ave Two Harbors |
| State: | MN US |
| Postal Code: | 556161300 |
| Phone Number: | 2188347300 |
| Fax Number: | 2188347388 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 331064 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |