NPIMap

Organization Active NPI

Lake View Memorial Hospital, Inc.

  • Assisted Living Facility
  • Two Harbors, MN
National Provider Identifier
1609913870
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LAKE VIEW MEMORIAL HOSPITAL, INC.
Practice address
806 13TH Ave
Two Harbors, MN 55616-1268
Phone
(218) 834-7304
Fax
(218) 834-7388
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Carlson
Title
President Ceo
Phone
(218) 834-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

806 13TH Ave
Two Harbors, MN 55616-1268

Mailing address

325 11TH Ave
Two Harbors, MN 55616-1300
Phone (218) 834-7300

Other names 1

  • LAKE VIEW COTTAGES Other name

National Provider Directory

National Provider Directory
Tax ID family
Lake View Memorial Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

806 13th Ave
Two Harbors, MN 55616
Phone (218) 834-7304

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609913870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 11TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161300",
            "telephone_number": "218-834-7300",
            "fax_number": "218-834-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 13TH AVE",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161268",
            "telephone_number": "218-834-7304",
            "fax_number": "218-834-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE VIEW MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "218-834-7316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE VIEW COTTAGES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Two Harbors, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.