Lake View Memorial Hospital, Inc
Lake View Memorial Hospital, Inc is a health care provider in Two Harbors, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 325 11th Ave, Two Harbors, MN 55616-1300, US |
|Practice Location Phone||218-834-7300|
|Practice Location Fax||218-834-7388|
|Legal Business Name||LAKE VIEW MEMORIAL HOSPITAL, INC|
|Enumeration Date ? ||Oct 10, 2006|
|Last Update Date ? ||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Lake View Memorial Hospital, Inc
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|| ||330975||Minnesota|
Legacy Provider IDs of Lake View Memorial Hospital, Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
|245159||Medicare Id-type Unspecified||MEDICARE|
|1886NLA||Minnesota||Other||BLUE CROSS MINNESOTA|
Authorized Official of Lake View Memorial Hospital, Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lake View Memorial Hospital, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Brian Carlson|
|Authorized Official Title/Position||PRESIDENT/CEO|
|Authorized Official Phone Number||218-834-7300|