Organization Name: | LAKEWOOD HEALTH SYSTEM |
NPI Number: | 1295726362 |
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: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 375911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |