NPIMap

Organization Active NPI

Lakeview Health Center

  • Intellectual Disabilities Intermediate Care Facility
  • West Salem, WI
National Provider Identifier
1891781464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
3012 Issued in WI
Legal business name
LAKEVIEW HEALTH CENTER
Practice address
902 E Garland St
West Salem, WI 54669-1308
Phone
(608) 786-1400
Fax
(608) 786-1419
NPI assigned
Sep 20, 2005
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
Mrs. Pamela Lynn Semb
Title
Administrator
Phone
(608) 786-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 3012 WI Primary

Addresses

Primary practice location

902 E Garland St
West Salem, WI 54669-1308

Mailing address

902 E Garland St
West Salem, WI 54669-1308
Phone (608) 786-1400

Other identifiers 1

IdentifierTypeStateIssuer
21052300MedicaidWI

Other names 1

  • La Crosse County Other name

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Health Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891781464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 E GARLAND ST",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691308",
            "telephone_number": "608-786-1400",
            "fax_number": "608-786-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 E GARLAND ST",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546691308",
            "telephone_number": "608-786-1400",
            "fax_number": "608-786-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEMB",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-786-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "WI",
            "license": "3012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21052300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Crosse County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Salem, WI

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.