Organization Name: | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE |
NPI Number: | 1154415024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACQUELINE KLEIN (CFO) |
Mailing Address: | 1700 W Stout St Rice Lake |
State: | WI US |
Postal Code: | 548685000 |
Phone Number: | 7152341515 |
Fax Number: | 7152344465 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 08/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 1562-800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |