# LAKE REGION HEALTHCARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093713372
- **Authorized official:** KENT MATTSON (CEO)
- **Authorized official phone:** (218) 736-8090

## Contact information

- **Practice address:** 712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
- **Practice address phone:** (218) 736-8000
- **Practice address fax:** (218) 736-8775
- **Mailing address:** 712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
- **Mailing address phone:** (218) 736-8000
- **Mailing address fax:** (218) 736-8775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 327293 | MN | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 08/19/2024