FAIR OAKS LODGE
NPI 1043210925
Skilled Nursing Facility in Wadena, MN
About Fair Oaks Lodge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIR OAKS LODGE (NPI 1043210925) is a healthcare organization registered as a skilled nursing facility in Wadena, Minnesota and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Eric R. Lunde, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
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 Waiver 24D0406240
Fair Oaks Lodge · Wadena, MNOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WADENA, MN 56482
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lss Of Wadena, LLC's NPI number?
The NPI number for Lss Of Wadena, LLC is 1043210925. It was assigned to this organization in the NPPES registry on July 21, 2005. The provider is doing business as Fair Oaks Lodge.
Where is Lss Of Wadena, LLC located?
Lss Of Wadena, LLC is located at 201 Shady Lane Dr, Wadena, MN 56482. The listed phone number is (218) 631-1391.
What is Lss Of Wadena, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Lss Of Wadena, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0406240) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lss Of Wadena, LLC accept?
Health plans from Medica list Lss Of Wadena, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lss Of Wadena, LLC was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.