Lakeside Healthcare Llc

LBN: Lakeside Healthcare Llc
Lakeside Healthcare Llc is an health care organization with primary practice located at 1010 W 5Th St , Redfield SD 57469-2026. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Lakeside Healthcare Llc can be contacted via phone (605) 472-2191, or through Lemmer, Rosanne A via phone (605) 472-2191.

Contact Information

Primary practice address
1010 W 5Th St Redfield SD 57469-2026
Phone: (605) 472-2191
Fax: (605) 472-2194
Website:
Map and Directions
Authorized official contact:
Name: Lemmer, Rosanne A
Phone: (605) 472-2191

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 40127 South Dakota

Profile Details

NPI number 1780990457
LBN Legal business name Lakeside Healthcare Llc
DBA Doing business as
Authorized official Lemmer, Rosanne A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2010
Last updated Aug 19th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780990457 NPPES
South Dakota MEDICAID 9571840

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