Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Region Healthcare Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1194862557

Lake Region Healthcare Corporation is a Non-Pharmacy Dispensing Site in Fergus Falls, Minnesota. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

712 S Cascade St
Fergus Falls, MN 56537-2913
Phone: (952) 653-2528
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1194862557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Mattson — Ceo · (218) 736-8090
NPI enumeratedFebruary 1, 2007
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6501 City West Pkwy, Eden Prairie, MN 55344-3248