LAKESIDE MEDICAL CENTER, INC.
NPI 1043200355
Skilled Nursing Facility in Pine City, MN

Active since October 27, 2005
129 6TH AVE SE, PINE CITY, MN 55063(320) 629-2542(320) 629-1093 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeside Medical Center, Inc. NPPES

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

LAKESIDE MEDICAL CENTER, INC. (NPI 1043200355) is a healthcare organization registered as a skilled nursing facility in Pine City, Minnesota and active in the NPI registry since October 2005. The organization lists Richard Allen Mcmahon, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043200355
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLAKESIDE MEDICAL CENTER, INC.
Location Address129 6TH AVE SEPine City, MN 55063-1913
Mailing Address129 6th Ave SePine City, MN 55063-1913 · (320) 629-2542 · Fax (320) 629-1093
Fax(320) 629-1093
Organization SubpartNo
Authorized OfficialRichard Allen McmahonCfo · (320) 629-2542
Enumeration DateOctober 27, 2005
Last NPPES UpdateMarch 27, 2013
NPI 1043200355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

129 6TH AVE SE, Pine City, MN 55063

Other Identifiers 4

Other7111815MN · Medica
Medicare ID-Type Unspecified245374MN
Medicaid177550200MN
Other0694ELAMN · Bc/bs

Other Providers at the Same Location NPPES 4

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

General Acute Care Hospital (Rural)
129 6TH AVE SE
PINE CITY, MN 55063
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
129 6TH AVE SE, LAKESIDE MEDICAL CENTER
PINE CITY, MN 55063
Physical Therapy Assistant
129 6TH AVE SE
PINE CITY, MN 55063
General Acute Care Hospital
129 6TH AVE SE
PINE CITY, MN 55063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043200355, enumerated as an "organization" on October 27, 2005.

The provider is located at 129 6TH AVE SE PINE CITY, MN 55063 and the phone number is (320) 629-2542.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Medica Health Insurance, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.