Organization
LAKEVIEW BEHAVIORAL HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOHNSON (CEO)
(218) 327-2001
Entity
Organization
Contact information
Practice address
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3800
(218) 327-2001
(218) 327-0456
Mailing address
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3800
(218) 327-2001
(218) 327-0456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
805713-1-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122307
BEHAVIORAL HEALTH
MN
05
—
371225700
—
MN
01
—
5042493
MEDICA
MN
01
—
8974RA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
10/23/2006
Last updated
08/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us