Lake View Memorial Hospital, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

330975 Issued in MN

Legal business name

LAKE VIEW MEMORIAL HOSPITAL, INC

Practice address

325 11TH Ave
Two Harbors, MN 55616-1300

Phone

(218) 834-7300

Fax

(218) 834-7388

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian Carlson

Title

President/Ceo

Phone

(218) 834-7300

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063500528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "218-834-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "330975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Knop
• Lake County
• Lake County Ambulance Service (Two Harbors Ambulance)
• Lake View Clinic (Aspirus Lake View Two Harbors Clinic)
• Lake View Memorial Hospital, Inc (Aspirus Lake View Hospital)
• Lake View Memorial Hospital, Inc (Aspirus Lake View Hospital Urgent Care)
• Lake View Memorial Hospital, Inc. (Aspirus Lake View Hospital)
• Lake View Memorial Hospital, Inc. (Aspirus Lake View Hospital)
• Lake View Memorial Hospital, Inc. (Aspirus Lake View Hospital)
• Lake View Memorial Hospital, Inc.

• Skilled Nursing Facility in Two Harbors, MN
• Providers in Two Harbors, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.