Lakewood Health System

NPI #1932468683 in Staples, Minnesota

Provider Information

NPI Number: 1932468683
Entity Type: Organization
Organization Name: Lakewood Health System
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: May 15, 2012
Last Updated: May 15, 2012

Practice Location

Address: 401 PRAIRIE AVE. N.
Address 2: 49725 CO. HWY 83
City: Staples
State: Minnesota
ZIP Code: 56479
Phone: (218) 894-8204

Authorized Official

Name: NANCY J RACH, MS
Title: COUNSELOR
Phone: (218) 640-1992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital - Critical Access — Critical Access	282NC0060X
Health Maintenance Organization	302R00000X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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