Organization
LAKE VIEW MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CARLSON (PRESIDENT/CEO)
(218) 834-7300
Entity
Organization
Contact information
Practice address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 834-7300
(218) 834-7388
Mailing address
325 11TH AVE, TWO HARBORS, MN 55616-1300
(218) 834-7300
(218) 834-7388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330975
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1886NLA
BLUE CROSS MINNESOTA
MN
01
—
300441
UCARE MINNESOTA
MN
Enumeration date
10/10/2006
Last updated
08/22/2020
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