Lakeside Medical Center, Inc. in Pine City - Skilled Nursing Facility
Lakeside Medical Center, Inc. - NPI 1043200355
Lakeside Medical Center, Inc. is a Skilled Nursing Facility in Pine City, Minnesota. Lakeside Medical Center, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lakeside Medical Center, Inc. is 1043200355. The last update date is 2013-03-27.
Lakeside Medical Center, Inc.'s current location address is 129 6th Ave Se, Pine City, Minnesota. You can contact this provider via phone number 3206292542 and fax number 3206291093. The mailing address for Lakeside Medical Center, Inc. is 129 6th Ave Se, Pine City, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Medical Center, Inc. |
|---|---|
| Address | 129 6th Ave Se, Pine City, Minnesota |
| Phone Number | 3206292542 |
| Fax Number | 3206291093 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Mcmahon Allen Richard |
| Telephone Number | 3206292542 |
NPI Number Detail
| NPI Number | 1043200355 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2013-03-27 |
Provider Mailing Address Detail
| Address | 129 6th Ave Se |
|---|---|
| City | Pine City |
| State | Minnesota (MN) |
| Post Code | 550631913 |
| Phone Number | 3206292542 |
| Fax Number | 3206291093 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7111815 | MN | MEDICA | |
| 177550200 | MN | -- | |
| 0694ELA | MN | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lakeside Medical Center, Inc. by the Centers for Medicare & Medicaid Services?
The Lakeside Medical Center, Inc. has been assigned the NPI (National Provider Identifier) 1043200355 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lakeside Medical Center, Inc. is located?
The Lakeside Medical Center, Inc. is situated at the following address: 129 6Th Ave Se, Pine City, MN, 550631913.
What is the Lakeside Medical Center, Inc.'s specialty and taxonomy code?
The Lakeside Medical Center, Inc.'s specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043200355 to Lakeside Medical Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1043200355 to Lakeside Medical Center, Inc. on 2005-10-27.
As of what date were the details pertaining to Lakeside Medical Center, Inc. last refreshed?
The information related to the Lakeside Medical Center, Inc., including its address, specialty, and other relevant details, was last updated on 2013-03-27.
NPI Number: 1912900226
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