Organization
LAKE REGION HEALTHCARE CORPORATION
Active
Organization
LAKE REGION HEALTHCARE CORPORATION
Active
Other names
LAKE REGION HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JOHNSON (CFO)
(218) 736-8687
Entity
Organization
Contact information
Practice address
1411 HWY 79E, ELBOW LAKE, MN 56531-4605
(218) 685-7300
(218) 685-7296
Mailing address
1411 HWY 79E, ELBOW LAKE, MN 56531-4605
(218) 685-7300
(218) 685-7296
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
00154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241379
NORIDIAN MEDICARE
MN
01
—
24Z379
NORIDIAN MEDICARE SWINGBED
MN
01
—
C06639
WPS MEDICARE
MN
Enumeration date
11/16/2005
Last updated
07/07/2026
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