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LAKE REGION HEALTHCARE CORPORATION
NPI 1194862557
Non-Pharmacy Dispensing Site in Fergus Falls, MN

Active since February 01, 2007
712 S CASCADE ST, FERGUS FALLS, MN 56537(952) 653-2528 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Lake Region Healthcare Corporation NPPES

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

LAKE REGION HEALTHCARE CORPORATION (NPI 1194862557) is a healthcare organization registered as a non-pharmacy dispensing site in Fergus Falls, Minnesota and active in the NPI registry since February 2007. The organization lists Kent Mattson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194862557
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLAKE REGION HEALTHCARE CORPORATION
Location Address712 S CASCADE STFergus Falls, MN 56537-2913
Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248
Phone(952) 653-2528
Organization SubpartNo
Authorized OfficialKent MattsonCeo · (218) 736-8090
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1194862557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
712 S CASCADE ST, Fergus Falls, MN 56537
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

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.

AMANDA MARY WILSON DO
Obstetrics & Gynecology
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
SHERYL OLSON NP
Nurse Practitioner
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
MACARRA JOSEPH RDN, LRD, LD
Dietitian, Registered
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8101
ALENA STORLIE
Nurse Practitioner (Acute Care)
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
TOM DEBRITO CRNA
Specialist
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
REBECCA RAE BOESL DNP
Nurse Practitioner (Family)
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
LONNIE WILLIAM BERGER M.D.
Family Medicine
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
JULIE HAMRE RD LD
Dietitian, Registered
712 S CASCADE ST
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000

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 Lake Region Healthcare Corporation's NPI number?

The NPI number for Lake Region Healthcare Corporation is 1194862557. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Lake Region Healthcare Corporation located?

Lake Region Healthcare Corporation is located at 712 S Cascade St, Fergus Falls, MN 56537. The listed phone number is (952) 653-2528.

What is Lake Region Healthcare Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Lake Region Healthcare Corporation accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 20 other insurers list Lake Region Healthcare Corporation 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 Lake Region Healthcare Corporation was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.