Organization
LAKEWOOD HEALTH CENTER
Active
Other names
CHI Lakewood Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY A STAMPOHAR (PRESIDENT)
(218) 634-2120
Entity
Organization
Contact information
Practice address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-2120
(218) 634-1016
Mailing address
600 MAIN AVE S, BAUDETTE, MN 56623-2855
(218) 634-2120
(218) 634-1016
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
331065
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1535HTR
BLUE CROSS OF MINNESOTA
MN
05
—
199245700
—
MN
Enumeration date
02/16/2006
Last updated
02/27/2020
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