LAKESIDE MEDICAL CENTER, INC.
NPI 1285698878
General Acute Care Hospital in Pine City, MN

NPI Status: Active since April 12, 2006

Contact Information

129 6TH AVE SE
PINE CITY, MN
ZIP 55063
Phone: (320) 629-2542
Fax: (320) 629-1093

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  • Organization
  • General Acute Care Hospital

About LAKESIDE MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Lakeside Medical Center, Inc., a provider established in Pine City, Minnesota operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1285698878 assigned on April 2006. The practitioner's primary taxonomy code is 282N00000X with license number 330908 (MN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Richard Mcmahon (Cfo)

NPI
1285698878
Provider Name
LAKESIDE MEDICAL CENTER, INC.
Entity Type
Organization
Location Address
129 6TH AVE SE PINE CITY, MN 55063
Location Phone
(320) 629-2542
Location Fax
(320) 629-1093
Mailing Address
129 6TH AVE SE PINE CITY, MN 55063
Mailing Phone
(320) 629-2542
Mailing Fax
(320) 629-1093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
330908
License State
MN
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RICHARD MCMAHON

Authorized Official Title
CFO
Authorized Official Phone
(320) 629-2542

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0694HLAOTHER (01)MNBLUECROSS BLUESHEILD
5017321OTHER (01)MNMEDICA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285698878
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216512916814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 9 + 1 + 6 + 8 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1285698878 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982859815LAKESIDE MEDICAL CENTER, INC
Organization
General Acute Care Hospital (Rural)129 6TH AVE SE
PINE CITY, MN 55063
(320) 629-2542
1043200355LAKESIDE MEDICAL CENTER, INC.
Organization
Skilled Nursing Facility129 6TH AVE SE
PINE CITY, MN 55063
(320) 629-2542
1700840196TOTAL RENAL CARE INC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)129 6TH AVE SE LAKESIDE MEDICAL CENTER
PINE CITY, MN 55063
(763) 444-7245
1790298891 SAMANTHA LEE SCHWIEGER
Individual
Physical Therapy Assistant129 6TH AVE SE
PINE CITY, MN 55063
(320) 629-2542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285698878, enumerated in the NPI registry as an "organization" on April 12, 2006

The provider is located at 129 6th Ave Se Pine City, Mn 55063 and the phone number is (320) 629-2542

This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X

The provider might be accepting Accepts: Medicare, Medicaid and Medica Health Insurance. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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