NPIMap

Organization Active NPI

Lake Region Corporation

  • Community/Behavioral Health Agency
  • Devils Lake, ND
National Provider Identifier
1740887702
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKE REGION CORPORATION
Practice address
224 3Rd St NW
Devils Lake, ND 58301-2908
Phone
(701) 662-8681
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Sandra Svedberg
Title
Cfo
Phone
(701) 662-8681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

224 3Rd St NW
Devils Lake, ND 58301-2908

Mailing address

224 3Rd St NW
Devils Lake, ND 58301-2908
Phone (701) 662-8681

Other identifiers 1

IdentifierTypeStateIssuer
1455784MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Lake Region Corporation6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1740887702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 3RD ST NW",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012908",
            "telephone_number": "701-662-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 3RD ST NW",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012908",
            "telephone_number": "701-662-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "SVEDBERG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-662-8681"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455784",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.