NPIMap

Organization Active NPI

Lakewood Health System

  • Critical Access Hospital
  • Staples, MN
National Provider Identifier
1295726362
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
375911 Issued in MN
Legal business name
LAKEWOOD HEALTH SYSTEM
Practice address
49725 County 83
Staples, MN 56479-5280
Phone
(218) 894-1515
Fax
(218) 894-1316
NPI assigned
Oct 28, 2005
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Joseph T Reycraft
Title
Cfo
Phone
(218) 894-8194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 375911 MN Primary

Addresses

Primary practice location

49725 County 83
Staples, MN 56479-5280

Mailing address

49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070618000309 MN Part A Provider - Critical Access Hospital 1052229671 Receives reassigned benefits from 179 practitioners
Practice locations: Staples, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295726362. Details of each certification follow.

Hospital certification: CCN 241329

Legal name
LAKEWOOD HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 12, 2002
Last certification
Apr 2, 2025
Beds
37 (25 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1997 in MN
Enrollment address
49725 County 83
Staples, MN 56479-5280
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Lakewood Health SystemCCN 241329 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Clinic Eagle Bend14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

1210 Hwy 10 S
Motley, MN 56466

653 Pillsbury St N
Pillager, MN 56473
Phone (218) 746-4550

475 Enterprise Dr
Ste 202
Royersford, PA 19468
Phone (484) 214-1500

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Melissa Beth Lindow Individual Operational/Managerial ControlChief Operating Officer Aug 27, 2023
Billy Joe Haehnel Individual Corporate Director Nov 1, 2015
Joseph Thomas Reycraft Individual Corporate Officer Aug 28, 2022
Operational/Managerial ControlCfo Aug 28, 2022
Curtis Eugene McIlravy Individual Corporate OfficerSystem Board Chair Jul 1, 2021
Corporate Director Jul 1, 2014
Ryan David Kray Individual Corporate DirectorBoard Member Oct 1, 2021
Robert Michael Mueller Individual Corporate OfficerDistrict Vice Chair Jun 25, 2015
Corporate DirectorDistrict Vice Chair Jun 25, 2015
Sara Jane Grove Individual Corporate Director Apr 24, 2014
Craig Thomas Wolhowe Individual Corporate OfficerVP of Clinics & Medical Providers Jun 11, 1997
Operational/Managerial ControlVP of Clinics & Medical Providers Jun 11, 1997
Alicia Kay Bauman Individual Operational/Managerial ControlChief Talent Officer Aug 27, 2023
Mary Martha Theurer Individual Corporate OfficerDistrict Chair / System Secretary Jan 1, 2010
Elizabeth Ann Pottratz Individual Corporate DirectorBoard Member Jan 1, 2023
Lisa Marie Bjerga Individual Corporate OfficerCeo/President Mar 7, 2016
Operational/Managerial ControlCeo/President Mar 7, 2016
Kaitlyn Rose Schoeck Individual Corporate DirectorBoard Member Aug 7, 2017
Lana Ellen Hansen Individual Corporate OfficerDistrict Secretary Jan 1, 2008
Ronald Alvin Storbakken Individual Corporate Director Jan 1, 2000
Franz Harry Achermann Individual Corporate DirectorBoard Member Jan 1, 2025
Kathleen Marie Dobson Individual Operational/Managerial ControlVP of Senior Services Feb 1, 2014
James Alan Roeder Individual Operational/Managerial ControlVP of Information Technology Sep 6, 2006
Mary Ann Fitcher Individual Corporate DirectorBoard Member Jan 1, 2025
Brad Richard Anderson Individual Operational/Managerial ControlChief Development Officer Aug 13, 2014
Amy Jo Brichacek Individual Corporate DirectorBoard Member Jan 1, 2021
Emil Paul Wicht Individual Corporate Director Jan 1, 1973
Melissa Sue Daniels Individual W-2 Managing EmployeeExecutive Assistant to the Cfo Sep 15, 2016
Michael Lee Austin Individual Operational/Managerial ControlVP of Clinic Services Dec 30, 2024
Norman Harold Krause Individual Corporate DirectorBoard Member Jul 1, 2018
Daniel John Douts Individual Corporate DirectorBoard Member May 1, 2024
Susan Kay Peet Individual Corporate OfficerDistrict Treasurer Jan 1, 2021
Corporate DirectorDistrict Treasurer Jan 1, 2021
Wade Thomas Swenson Individual Corporate DirectorBoard Member Jan 1, 2023
Lindsay Rae Leveille Individual Corporate DirectorBoard Member Jul 1, 2023
Christine Sara Albrecht Individual Operational/Managerial ControlCmo Jun 1, 2020
Sarah Ann Jennissen Individual Corporate DirectorBoard Member Jul 1, 2024
Beverly Jean Hoemberg Individual Corporate Director Jan 1, 2011
Jef Richard Cichos Individual Corporate OfficerSystem Vice Chair Jul 1, 2021
Corporate Director Jul 1, 2016
Sarah Jane Baumgartner Individual Operational/Managerial ControlVP of Nursing Jun 6, 1995

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakewood ClinicStaples, MN, CCN 243422 Rural health clinic 5% Or Greater Direct Ownership Interest
General Partnership Interest		 Apr 1, 1997
Apr 1, 1997
Lakewood Clinic-BrowervilleEagle Bend, MN, CCN 243421 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1997
Lakewood Clinic-PillagerPillager, MN, CCN 243436 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Mar 1, 1998
Mar 1, 1998

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Lakewood Health System

    dba Lakewood Clinic Eagle Bend

    • Rural Health Clinic/Center
    • Eagle Bend, MN
    • NPI 1093706160

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Lakewood Health System

    dba Lakewood Clinic Pillager

    • Rural Health Clinic/Center
    • Pillager, MN
    • NPI 1811988983

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lakewood Health System

    dba Lakewood Clinic Staples

    • Rural Health Clinic/Center
    • Staples, MN
    • NPI 1841280823

    5% Or Greater Direct Ownership Interest, General Partnership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 196

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 196

Affiliated clinicians 109

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

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1295726362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-898-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-894-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "REYCRAFT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "218-894-8194"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "375911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staples, MN

Sources for this page

Verify at the official NPI Registry.