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LAKEWOOD HOSPICE
NPI 1104850924
Hospice Care, Community Based in Baudette, MN

Active since July 10, 2006CLIA Certified · 2 labs
600 MAIN AVE S, BAUDETTE, MN 56623(218) 634-1795(218) 634-3490 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakewood Hospice NPPES

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

LAKEWOOD HOSPICE (NPI 1104850924) is a healthcare organization registered as a hospice care, community based in Baudette, Minnesota and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Sharray Feickert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104850924
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLAKEWOOD HEALTH CENTER
Location Address600 MAIN AVE SBaudette, MN 56623-2855
Mailing Address600 Main Ave SBaudette, MN 56623-2855 · (218) 634-1795 · Fax (218) 634-3490
Phone(218) 634-1795
Fax(218) 634-3490
Organization SubpartNo
Authorized OfficialSharray FeickertCeo · (218) 634-2120
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104850924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in MN · 330093
600 MAIN AVE S, Baudette, MN 56623
Open in Google Maps ↗

Other Names 1

Doing Business AsLakewood Hospice

Other Identifiers 1

Other3Z01LAMN · Bluecross

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 24D0651722

Lakewood Health Center · Baudette, MN
Active · expires Mar 3, 2028
CLIA Number24D0651722
Laboratory TypeHospital
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorDr. Heidi A. Jess
Laboratory Phone(218) 634-2120
Laboratory LocationLakewood Health Center600 Main Ave South, Baudette, MN 56623
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 24D0869052

Lakewood Health Center - Low Ambulance · Baudette, MN
Active · expires Aug 31, 2026
CLIA Number24D0869052
Laboratory TypeAmbulance
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDonald Castle
Laboratory Phone(218) 634-2120
Laboratory LocationLakewood Health Center - Low Ambulance111 SW 1st Avenue, Baudette, MN 56623
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

SARAH J GUBBELS LICSW
Social Worker (Clinical)
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-2120
MUHAMMAD ARSHAD BHALLI PA
Physician Assistant
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-2120
AMY RENEE MOSER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-3400
SHAWNA RENAE BRASGALLA WENDLER
Community Health Worker
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-3403
MR. GABRIEL DAN MOONEY R.D.
Dietitian, Registered
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-2120
ROBERT ANTHONY WOLFE MD
Family Medicine
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-1655
JUSTIN QUO M.D.
Family Medicine
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-1655
CASEY SHAWN HILL
Physician Assistant
600 MAIN AVE S
BAUDETTE, MN 56623
Lake of The Woods County (218) 634-2120

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 Lakewood Health Center's NPI number?

The NPI number for Lakewood Health Center is 1104850924. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Lakewood Hospice.

Where is Lakewood Health Center located?

Lakewood Health Center is located at 600 Main Ave S, Baudette, MN 56623. The listed phone number is (218) 634-1795.

What is Lakewood Health Center's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Lakewood Health Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lakewood Health Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.