Lake View Memorial Hospital, Inc
Organization Active NPI Skilled Nursing Facility · Two Harbors, MN
NPI 1063500528 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1063500528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 330975 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Brian Carlson
- Title
- President/Ceo
- Phone
- (218) 834-7300
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 330975 | MN | Yes |
Addresses
Primary practice location
325 11TH Ave
Two Harbors, MN 55616-1300
Mailing address
325 11TH Ave
Two Harbors, MN 55616-1300
Phone (218) 834-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300441 | Other | MN | UCARE MINNESOTA |
| 1886NLA | Other | MN | BLUE CROSS MINNESOTA |
Other providers in Two Harbors, MN
- Chloe Knop
- Lake County
- Lake County Ambulance Service
- Lake View Clinic
- Lake View Memorial Hospital, Inc
- Lake View Memorial Hospital, Inc
- Lake View Memorial Hospital, Inc.
- Lake View Memorial Hospital, Inc.
- Lake View Memorial Hospital, Inc.
- Lake View Memorial Hospital, Inc.
All providers in Two Harbors, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.