LAKEWOOD HEALTH SYSTEM
NPI 1003807173
Durable Medical Equipment & Medical Supplies in Staples, MN

Q: What is Lakewood Health System's NPI number?

The NPI number for Lakewood Health System is 1003807173. It was assigned to this organization in the NPPES registry on October 28, 2005.

Q: What is Lakewood Health System's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since October 28, 2005CLIA Certified · 7 labs

49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 898-7596 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2025, May 22, 2017, May 20, 2016 (3 updates tracked since 2016).

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About Lakewood Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEWOOD HEALTH SYSTEM (NPI 1003807173) is a healthcare organization registered as a durable medical equipment & medical supplies in Staples, Minnesota and active in the NPI registry since October 2005. The organization holds 7 active CLIA laboratory certificates and lists Joseph T Reycraft, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003807173

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameLAKEWOOD HEALTH SYSTEM

Location Address49725 COUNTY 83Staples, MN 56479-5280

Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515 · Fax (218) 898-7596

Phone(218) 894-1515

Fax(218) 898-7596

Organization SubpartNo

Authorized OfficialJoseph T ReycraftCfo · (218) 894-8194

Enumeration DateOctober 28, 2005

Last NPPES UpdateJune 9, 20253 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1003807173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

49725 COUNTY 83, Staples, MN 56479

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D2317355

Lakewood Health System Lakewood Dermatology · Staples, MN

Active · expires Jun 16, 2027

CLIA Number24D2317355

Laboratory TypePhysician Office

Certificate Effective DateJune 17, 2025

Certificate Expiration DateJune 16, 2027

Laboratory DirectorCraig T. Roelke

Laboratory Phone(218) 894-1515

Laboratory LocationLakewood Health System Lakewood Dermatology49725 County 83, Staples, MN 56479

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 24D0887964

Lakewood Health System · Staples, MN

Active · expires Jun 20, 2028

CLIA Number24D0887964

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateJune 21, 2026

Certificate Expiration DateJune 20, 2028

Laboratory DirectorSarah Baumgartner

Laboratory Phone(218) 894-8756

Laboratory LocationLakewood Health System49725 County 83, Staples, MN 56479

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 24D0406224

Lakewood Health System · Staples, MN

Active · expires Oct 3, 2027

CLIA Number24D0406224

Laboratory TypeHospital

Certificate Effective DateOctober 4, 2025

Certificate Expiration DateOctober 3, 2027

Laboratory DirectorDianne M. Kendall

Laboratory Phone(218) 894-8435

Laboratory LocationLakewood Health System49725 County 83, Staples, MN 56479

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 24D0888069

Lakewood Health System Care Center · Staples, MN

Active · expires Jun 21, 2028

CLIA Number24D0888069

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJune 22, 2026

Certificate Expiration DateJune 21, 2028

Laboratory DirectorAshley Wallgren

Laboratory Phone(218) 894-1515

Laboratory LocationLakewood Health System Care Center401 E Prairie Avenue NE, Staples, MN 56479

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2094956

Lakewood Health System - Pines Assisted Living · Staples, MN

Active · expires Apr 27, 2027

CLIA Number24D2094956

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorAlexis Close

Laboratory Phone(218) 894-8607

Laboratory LocationLakewood Health System - Pines Assisted Living1702 Airport Rd, Staples, MN 56479

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2094957

Lakewood Health System - Manor Assisted Living · Staples, MN

Active · expires Apr 27, 2027

CLIA Number24D2094957

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 28, 2025

Certificate Expiration DateApril 27, 2027

Laboratory DirectorRhonda J. Ekholm

Laboratory Phone(218) 894-8607

Laboratory LocationLakewood Health System - Manor Assisted Living222 5th St NE, Staples, MN 56479

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY VANVICKLE

Nurse Practitioner (Women's Health)