Organization
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
Active
Parent organization
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
Other names
Lakeview Hospital EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC
Authorized official
DOUGLAS EDWARD JOHNSON (CHIEF FINANCIAL OFFICER)
(651) 430-4581
Entity
Organization
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082-6605
(651) 430-4529
(651) 430-4528
Mailing address
PO BOX 310, STILLWATER, MN 55082-0310
(651) 430-4529
(651) 430-4528
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005491
PEAK ADM SERV AMBULANCE
MN
01
—
1006069
PREFERRED ONE
MN
01
—
41
HEALTHPARTNERS AMBULANCE
MN
05
—
41349600
—
WI
01
—
5012806
MEDICA CHOICE AMBULANCE
MN
01
—
5R12LA
BLUE CROSS MN AMBULANCE
MN
01
—
8005491
PREFER ONE COMM AMBULANCE
MN
05
—
834547300
—
MN
Enumeration date
03/15/2007
Last updated
01/21/2019
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