| Organization Name: | LAKEVIEW MEDICAL CENTER INC OF RICE LAKE |
| NPI Number: | 1033248513 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE KLEIN (CFO) |
| Mailing Address: | 819 Ash St Spooner |
| State: | WI US |
| Postal Code: | 548011201 |
| Phone Number: | 7156352111 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 03/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 1562800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |