Lakewood Health System
Organization Active NPI Critical Access Hospital · Staples, MN
NPI 1124019054 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1124019054
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 327666 (MN)
- Legal business name
- LAKEWOOD HEALTH SYSTEM
- Practice address
- 49725 County 83
Staples, MN 56479-5280 - Phone
- (218) 894-1515
- Fax
- (218) 898-7596
- NPI assigned
- Oct 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Joseph T Reycraft
- Title
- Cfo
- Phone
- (218) 894-8194
Other NPIs on the same Medicare enrollment 6
Practitioners 56
-
Jason Elvin Alexander, CRNA
-
Carissa Arens, APRN, CNP
-
Rebecca Lynn Bennett, PA-C
-
Melissa Ann Buss, PMHNP-BC
-
Jonathan Hal Claussen, M.D.
-
Mariah Renae Couture, FNP
-
Larson Davick, PA-C
-
Paul A Davis, PHD, LP
-
Rachel R Edgerton, CRNA
-
Anna Corinne Ehnstrom, PA-C
-
Kirstina Emans, MSW, LICSW
-
Michael Douglas Forster, CRNA, DNAP
-
Carla J Fowler, CRNA
-
David Allan Freeman, M.D.
-
Luann Annette Gammon, LICSW
-
Robert Gonzalez Jr., CRNA
-
Benjamin Gulli, M.D.
-
Christine B Hills, M.D.
-
Lisa Howley, MD
-
Michael Kenneth Hudalla, M.D.
-
Olivia Kastello, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031104000411 | MN | Part B Supplier - Clinic/Group Practice | 1052229671 |
Receives reassigned benefits from 148 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sartell, MN; Staples, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 327666 | MN | Yes |
Addresses
Primary practice location
49725 County 83
Staples, MN 56479-5280
Mailing address
49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515
Other providers in Staples, MN
- Stephanie Jo Kray
- Ryan M Kroll
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
- Lakewood Health System
All providers in Staples, MN · Critical Access Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.