Organization Name: | LAKE REGION HEALTHCARE CORPORATION |
NPI Number: | 1093713372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY ALAN SCHULZ (CEO) |
Mailing Address: | 712 S Cascade St Fergus Falls |
State: | MN US |
Postal Code: | 565372913 |
Phone Number: | 2187368000 |
Fax Number: | 2187368775 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | 327293 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |