Organization
LAKE REGION HEALTHCARE CORPORATION
Active
Organization
LAKE REGION HEALTHCARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT MATTSON (CEO)
(218) 736-8090
Entity
Organization
Contact information
Practice address
111 W VERNON AVE, FERGUS FALLS, MN 56537-2741
(218) 736-8000
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1783
MN
332H00000X
Eyewear Supplier
1783
MN
Other
Enumeration date
11/02/2015
Last updated
08/19/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up