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

Lakeside Medical Center, Inc

Organization Skilled Nursing Facility · NPI 1043200355

Lakeside Medical Center, Inc is a Skilled Nursing Facility in Pine City, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

129 6th Ave SE
Pine City, MN 55063-1913
Phone: (320) 629-2542
Fax: (320) 629-1093
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1043200355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard McMahon — Cfo · (320) 629-2542
NPI enumeratedOctober 27, 2005
Last updated in NPPESMarch 27, 2013
Mailing address129 6th Ave Se, Pine City, MN 55063-1913