| Organization Name: | LAKEWOOD HEALTH SYSTEM |
| NPI Number: | 1922099092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG T WOLHOWE (VICE PRESIDENT) |
| Mailing Address: | 401 Prairie Ave Ne Staples |
| State: | MN US |
| Postal Code: | 564793201 |
| Phone Number: | 2188941515 |
| Fax Number: | 2188941316 |
| NPI Enumeration Date: | 10/28/2005 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 376567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |