Organization Name: | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE |
NPI Number: | 1689762106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SYLVIA MARTHA BLAKEMAN (DIRECTOR) |
Mailing Address: | 2304 S Main St Rice Lake |
State: | WI US |
Postal Code: | 548682900 |
Phone Number: | 7152366256 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |