NPIMap

Organization Active NPI

Lakeview Memorial Hospital Association Inc

  • Land Ambulance
  • Stillwater, MN
National Provider Identifier
1730213653
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
Practice address
927 Churchill St W
Stillwater, MN 55082-6605
Phone
(651) 430-4529
Fax
(651) 430-4528
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Brandi Lunneborg
Title
President
Phone
(651) 430-5207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

927 Churchill St W
Stillwater, MN 55082-6605

Mailing address

8170 33Rd Ave S
Bloomington, MN 55425-4516

Other identifiers 8

IdentifierTypeStateIssuer
1005491OtherMNPEAK ADM SERV AMBULANCE
1006069OtherMNPREFERRED ONE
8005491OtherMNPREFER ONE COMM AMBULANCE
834547300MedicaidMN
41349600MedicaidWI
5R12LAOtherMNBLUE CROSS MN AMBULANCE
41OtherMNHEALTHPARTNERS AMBULANCE
5012806OtherMNMEDICA CHOICE AMBULANCE

Other names 1

  • Lakeview Hospital EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030421000022 MN Part A Provider - Hospital 1951210855 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oak Park Heights, MN; Stillwater, MN

Hospital certification: CCN 240066

Legal name
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC.
Doing business as
LAKEVIEW HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 5, 2019
Beds
97
Ownership / control type
Other
Most recent change of ownership
Mar 18, 2020 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1958 in MN
Enrollment address
927 W Churchill St
Stillwater, MN 55082-6605
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Lakeview Memorial HospitalCCN 240066
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Community Pharmacy8 organizations share this tax ID, including this one
Part of
Lakeview Community Pharmacy

Other organizations with this tax ID 7

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Jason Gallagher Individual Corporate Director Jan 1, 2024
Jack R Dressen Individual Corporate Director Jan 1, 2026
Khu Thao Individual Corporate Director Aug 1, 2023
Nicholas Weiss Individual Corporate Director Jan 1, 2026
Melissa Kolb Individual Corporate Director Apr 1, 2020
Michael Anderson Individual Corporate Director Jan 1, 2019
Stillwater Health System Organization, Stillwater, MN Corporation, Non-profit Operational/Managerial Control Jun 27, 2011
Sharon Tolva Individual Corporate Director Jan 1, 2019
Annie Jacobsen Individual Corporate Director Sep 28, 2023
Mark Gherty Individual Corporate Director May 1, 2018
Richard G Dado Individual Corporate Director Jun 1, 2019
Criag Yehlik Individual Corporate Director Jan 1, 2020
Kris Tjornehoj Individual Corporate Director May 1, 2018
Levon O Haodha Individual Corporate Director Apr 1, 2018
Regan Brown Individual Corporate Director Jan 1, 2019
Alita R Risinger Individual Corporate OfficerVice President, Cfo Jul 1, 2024
Oralee Schock Individual Corporate Director May 1, 2017
Pahoua Hoffman Individual Corporate Director May 1, 2023
Lisa Bjorkman Individual W-2 Managing EmployeeAd; Jul 27, 2015
Paula Kolbeck Individual Corporate Director Jan 1, 2020
Charles Williamson Individual Corporate Director Mar 1, 2020
Steven Long Individual Corporate Director Oct 1, 2022

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 508

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

View all 508

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1730213653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 CHURCHILL ST W",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826605",
            "telephone_number": "651-430-4529",
            "fax_number": "651-430-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "LUNNEBORG",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-430-5207"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEAK ADM SERV AMBULANCE",
            "identifier": "1005491",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1006069",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFER ONE COMM AMBULANCE",
            "identifier": "8005491",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834547300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41349600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MN AMBULANCE",
            "identifier": "5R12LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS AMBULANCE",
            "identifier": "41",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE AMBULANCE",
            "identifier": "5012806",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Hospital EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

Verify at the official NPI Registry.