NPIMap

Organization Active NPI

Lakes Regional Healthcare

  • General Acute Care Hospital
  • Spirit Lake, IA
National Provider Identifier
1508862012
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
300028H Issued in IA
Legal business name
LAKES REGIONAL HEALTHCARE
Practice address
2301 Highway 71
Spirit Lake, IA 51360-1184
Phone
(712) 336-1230
Fax
(712) 336-8620
NPI assigned
Jun 21, 2005
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Mr. Steve J Alger
Title
Sr VP and Cfo
Phone
(712) 336-8796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 300028H IA Primary

Addresses

Primary practice location

2301 Highway 71
Spirit Lake, IA 51360-1184

Mailing address

PO Box Ab
Spirit Lake, IA 51360-0159
Phone (712) 336-1230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021025000024 IA Part A Provider - Hospital 0941118442 Practice locations: Spirit Lake, IA; Milford, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508862012. Details of each certification follow.

Hospital certification: CCN 160124

Legal name
LAKES REGIONAL HEALTHCARE
Doing business as
LAKES REGIONAL HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 18, 2025
Beds
49
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
2301 Highway 71
Spirit Lake, IA 51360-1184
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lakes Regional HealthcareCCN 160124 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lakes Regional Healthcare11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Avera McKennan Organization, Sioux Falls, SD Non-profit Operational/Managerial Control Oct 24, 2022
Jason Charles Harrington Individual Corporate Director Jul 1, 2009
W-2 Managing EmployeePresident and Ceo Sep 20, 2011
Mary K Bates Individual Corporate DirectorBoard Member Jul 1, 2011
David W Flicek Individual Other Oct 24, 2022
Sonja Hamm Individual W-2 Managing EmployeeVP Human and Foundation Resources Oct 9, 2017
Kristine a. Walker Individual Corporate DirectorBoard Member Jan 1, 2007
Jeremy E Bolluyt Individual Corporate DirectorBoard Member Jul 1, 2013
Steven J Alger Individual Corporate OfficerChief Financial Officer May 3, 2011
Linda Moore Individual Corporate Director Oct 9, 2017
Denny L. Perry Individual Corporate DirectorBoard Member Jan 1, 2004
Jennifer H. Gustafson Individual W-2 Managing EmployeeVP of Administrative Services May 22, 2006
Steven G Feld Individual Corporate DirectorBoard Director Jan 1, 2011

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Lakes Regional Healthcare HospiceSpirit Lake, IA, CCN 161562 Hospice Other (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 12

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.

Affiliated clinicians 206

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

View all 206

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1508862012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AB",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600159",
            "telephone_number": "712-336-1230",
            "fax_number": "712-336-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HIGHWAY 71",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601184",
            "telephone_number": "712-336-1230",
            "fax_number": "712-336-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGIONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "ALGER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "712-336-8796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "300028H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.