LONGVILLE LAKES CLINIC – NPI #1861414518
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LONGVILLE LAKES CLINIC is a provider located in LONGVILLE, MN. NPPES has assigned the NPI number 1861414518 to LONGVILLE LAKES CLINIC on July 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LONGVILLE LAKES CLINIC” is a dba name, the actual legal business name for this organization is CUYUNA REGIONAL MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 9 years ago on May 04, 2017. 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 LONGVILLE LAKES CLINIC below.

NPI Profile for
CUYUNA REGIONAL MEDICAL CENTER

NPI Number
1861414518
Enumeration Date

(about 20 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
CUYUNA REGIONAL MEDICAL CENTER
Doing Business As (dba): LONGVILLE LAKES CLINIC
Primary location
180 JORDAN LANE
LONGVILLE, MN 56655
Phone: (218) 363-3300 Fax: (218) 363-2233
Mailing address
320 EAST MAIN STREET
CROSBY, MN 56441
Phone: (218) 546-7000 Fax: (218) 363-2233
Organization Subpart
No
Authorized Official
KATIE BERG
DIRECTOR OF FINANCE
Phone: (218) 546-7000
Updated
Identifiers

Identifiers for LONGVILLE LAKES CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRHCMN24-3872
MEDICAIDMN684513400
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
207Q00000X
- Family Medicine (Primary)
261QR1300X
- Clinic/Center / Rural Health

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.