LAKEWOOD HEALTH SYSTEM – NPI #1669759866
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

LAKEWOOD HEALTH SYSTEM is an AHC clinic located in SARTELL, MN. NPPES has assigned the NPI number 1669759866 to LAKEWOOD HEALTH SYSTEM on November 16, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was last updated on Jun 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKEWOOD HEALTH SYSTEM below.

NPI Profile for
LAKEWOOD HEALTH SYSTEM

NPI Number
1669759866
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKEWOOD HEALTH SYSTEM
Primary location
161 19TH ST S STE 106
SARTELL, MN 56377
Phone: (320) 252-3376 Fax: (218) 898-7597
Mailing address
49725 COUNTY 83
STAPLES, MN 56479-5280
Phone: (218) 894-1515 Fax: (218) 898-7596
Organization Subpart
Yes - LAKEWOOD HEALTH SYSTEM is subpart of another organization.
Authorized Official
JOSEPH REYCRAFT
CFO
Phone: (218) 894-8194
Updated
Certification Date
Jun 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.