NPIMap

Organization Active NPI

Department of Health & Human Services PHS IHS

  • Critical Access Hospital
  • Cass Lake, MN
National Provider Identifier
1194754382
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS
Practice address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3200
Fax
(218) 335-3204
NPI assigned
Jul 1, 2006
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Andrew J Lankowicz, CEO
Title
Ceo
Phone
(218) 335-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

425 7TH St NW
Cass Lake, MN 56633-3360

Mailing address

425 7TH St NW
Cass Lake, MN 56633-3360
Phone (218) 335-3200

Other names 1

  • Cass Lake Hospital Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000353 TX Part B Supplier - Clinic/Group Practice 7517879794 Receives reassigned benefits from 121 practitioners
Practice locations: Casslake, MN
O20070718000183 MN Part A Provider - Critical Access Hospital 7517879794 Practice locations: Cass Lake, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194754382. Details of each certification follow.

Hospital certification: CCN 241358

Legal name
DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS
Doing business as
CASS LAKE INDIAN HEALTH SERVICE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Aug 22, 2025
Beds
11
Ownership / control type
Federal
Organization structure
OtherNon-profit
Enrollment address
425 7TH NW St
Cass Lake Indian Health Service
Cass Lake, MN 56633-3360
Main/Primary Hospital Location

Care Compare: Hospital

Medicare Care Compare
Listed as
Cass Lake Indian Health Services HospitalCCN 241358 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Terrance Lascano Individual W-2 Managing Employee Oct 7, 2001
Andrew Lankowicz Individual Corporate OfficerChief Executive Officer Sep 26, 2021
Department of Health & Human Services PHS IHS Organization, Cass Lake, MN Operational/Managerial Control Jan 1, 2006

Practitioners & affiliated clinicians

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 125

Affiliated clinicians 43

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1194754382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200",
            "fax_number": "218-335-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 7TH ST NW",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566333360",
            "telephone_number": "218-335-3200",
            "fax_number": "218-335-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH & HUMAN SERVICES PHS IHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "LANKOWICZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-335-3200",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass Lake Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cass Lake Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cass Lake, MN

Sources for this page

Verify at the official NPI Registry.