1. Home
  2. Directory
  3. Minnesota
  4. Fergus Falls
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

LAKE REGION HEALTHCARE CORPORATION
NPI 1922471804
Durable Medical Equipment & Medical Supplies in Fergus Falls, MN

Active since November 02, 2015
111 W VERNON AVE, FERGUS FALLS, MN 56537(218) 736-8000 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2024, Jun 5, 2019, Nov 9, 2016 and 2 more (5 updates tracked since 2015).

About Lake Region Healthcare Corporation NPPES

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

LAKE REGION HEALTHCARE CORPORATION (NPI 1922471804) is a healthcare organization registered as a durable medical equipment & medical supplies in Fergus Falls, Minnesota and active in the NPI registry since November 2015. The organization lists Kent Mattson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922471804
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKE REGION HEALTHCARE CORPORATION
Location Address111 W VERNON AVEFergus Falls, MN 56537-2741
Mailing Address712 S Cascade StFergus Falls, MN 56537-2913 · (218) 736-8000
Phone(218) 736-8000
Organization SubpartNo
Authorized OfficialKent MattsonCeo · (218) 736-8090
Enumeration DateNovember 2, 2015
Last NPPES UpdateAugust 19, 20245 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1922471804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in MN · 1783
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License 1783 (MN)
111 W VERNON AVE, Fergus Falls, MN 56537
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Lake Region Healthcare Corporation carries, from the Medicare DMEPOS supplier directory.

Lake Region Healthcare Corporation

DMEPOS supplier · Fergus Falls, MN
✔

Accepts Medicare assignment

Lake Region Healthcare Corporation agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20406623
Medicare Participant SinceApril 1, 2021
Supplier Location111 W Vernon AveFergus Falls, MN 56537
Phone(218) 998-2020
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

RUBY RINGDAHL
Registered Nurse
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-5770
TERRY LIPP
Registered Nurse
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-5770
TYLER LACEY M.D.
Family Medicine
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-2221
DR. IBRAHIM ALI KHAN MD
Family Medicine
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-2221
MATTHEW DAVIS BOROWSKI ATC
Specialist/Technologist (Athletic Trainer)
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-2221
JACQUELINE HUBER MD
Psychiatry & Neurology (Psychiatry)
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-2221
MRS. KAYLA LYNN VALDEZ CNP
Nurse Practitioner (Family)
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 736-8000
CORINA ANETTE MARK PA
Physician Assistant
111 W VERNON AVE
FERGUS FALLS, MN 56537
Otter Tail County (218) 739-6870

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 1922471804. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Lake Region Healthcare Corporation located?

Lake Region Healthcare Corporation is located at 111 W Vernon Ave, Fergus Falls, MN 56537. The listed phone number is (218) 736-8000.

What is Lake Region Healthcare Corporation's specialty?

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

Does Lake Region Healthcare Corporation accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lake Region Healthcare Corporation accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lake Region Healthcare Corporation accept?

Health plans from Sanford Health Plan 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 23 months 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.