NPIMap

Organization Active NPI

Lakewood Health Center

  • Home Health Agency
  • Baudette, MN
National Provider Identifier
1699707216
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
331634 Issued in MN
Legal business name
LAKEWOOD HEALTH CENTER
Practice address
600 Main Ave S
Baudette, MN 56623-2855
Phone
(218) 634-1795
Fax
(218) 634-3490
NPI assigned
Jul 6, 2006
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
Ms. Shar Ray Feickert
Title
Ceo
Phone
(218) 634-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 331634 MN Primary

Addresses

Primary practice location

600 Main Ave S
Baudette, MN 56623-2855

Mailing address

600 Main Ave S
Baudette, MN 56623-2855
Phone (218) 634-1795

Other identifiers 2

IdentifierTypeStateIssuer
59-00243OtherMNMEDICA
1535ATROtherMNBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699707216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN AVE S",
            "city": "BAUDETTE",
            "state": "MN",
            "postal_code": "566232855",
            "telephone_number": "218-634-1795",
            "fax_number": "218-634-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN AVE S",
            "city": "BAUDETTE",
            "state": "MN",
            "postal_code": "566232855",
            "telephone_number": "218-634-1795",
            "fax_number": "218-634-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEICKERT",
        "authorized_official_first_name": "SHAR RAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-634-2120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "331634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "59-00243",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1535ATR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baudette, 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.