Organization
LAKEWOOD HEALTH SYSTEM
Active
Other names
Lakewood Clinic Staples
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH T REYCRAFT (CFO)
(218) 894-8194
Entity
Organization
Contact information
Practice address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 894-8403
Mailing address
49725 COUNTY 83, STAPLES, MN 56479-5280
(218) 894-1515
(218) 898-7596
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
727
MN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/21/2005
Last updated
06/09/2025
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