NPIMap

Organization Active NPI

Lakewood Health Center

Doing business as CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
National Provider Identifier
1922072776
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
331065 Issued in MN
Legal business name
LAKEWOOD HEALTH CENTER
Doing business as
CHI Lakewood Health
Practice address
600 Main Ave S
Baudette, MN 56623-2855
Phone
(218) 634-2120
Fax
(218) 634-1016
NPI assigned
Feb 16, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Jay Paul Ross
Title
VP Finance
Phone
(218) 616-3525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 331065 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) 634-2120

Other names 1

  • CHI Lakewood Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000469 MN Part B Supplier - Clinic/Group Practice 5698687929 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baudette, MN
O20080118000179 MN Part A Provider - Critical Access Hospital 5698687929 Receives reassigned benefits from 30 practitioners
Practice locations: Baudette, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922072776. Details of each certification follow.

Hospital certification: CCN 241301

Legal name
LAKEWOOD HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 29, 1999
Last certification
Aug 13, 2025
Beds
15
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Mar 9, 1956 in MN
Enrollment address
600 Main Ave S
Baudette, MN 56623-2855

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Lakewood Health CenterCCN 241301 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

3470 Solutions Ctr
Chicago, IL 60677

806 Main St W
Baudette, MN 56623
Phone (218) 634-1795

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Commonspirit Health Organization, Englewood, CO Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1996 100%
Jeffry a Stampohar Individual Corporate OfficerSite President Jan 15, 2018
W-2 Managing EmployeeSite President Jan 15, 2018
Lloyd H Dean Individual Corporate OfficerOrganization President & Ceo Jun 1, 2000
Bradley Nylander Individual Corporate DirectorBoard May 1, 2017
Amber G Stowman Individual Corporate OfficerDiv Op VP of Finance Aug 12, 2018
Jay Paul Ross Individual Corporate Officer Jul 1, 2015
W-2 Managing Employee Jul 1, 2015
James Austad Individual Corporate DirectorBoard Jul 1, 2019
Bruce Burton Individual Corporate DirectorBoard Chair Jan 1, 2014
Brent J Schmidt Individual Corporate OfficerDiv VP Oper Finance Jul 1, 2015
W-2 Managing EmployeeDiv VP Oper Finance Jul 1, 2015
Bernice M Ebner Individual Corporate DirectorBoard Jul 1, 2019
Justin Quo Individual Corporate DirectorBoard Jan 1, 2014

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

Affiliated clinicians 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1922072776",
    "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": "218-634-2120",
            "fax_number": "218-634-1016"
        },
        {
            "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": "218-634-2120",
            "fax_number": "218-634-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-02-16",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "218-616-3525"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "331065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHI Lakewood Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baudette, MN

Sources for this page

Verify at the official NPI Registry.