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LAKEWOOD HEALTH SYSTEM NPI 1912998089


NPI Information

NPI: 1912998089
Provider Name: LAKEWOOD HEALTH SYSTEM

Doing Business As: LAKEWOOD CLINIC MOTLEY

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 24D0939686

Address:
1233 HIGHWAY 10 S
MOTLEY, MN
ZIP 56466
Phone: (218) 352-6922
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LAKEWOOD HEALTH SYSTEM is a rural health clinic center in Motley, MN. LAKEWOOD HEALTH SYSTEM NPI is 1912998089. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakewood Clinic Motley.

The provider's business location address is:

1233 HIGHWAY 10 S
MOTLEY, MN
ZIP 56466-209
Phone: (218) 352-6922
Fax: (218) 898-7594

The provider's authorized official is Craig Wolhowe .
The authorized official title is Vice President and has the following contact phone number (218) 894-8600.

The CLIA number assigned to this NPI record is 24D0939686 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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