OrganizationActive
Lakeside Medical Center, Inc.
NPI 1043200355 · Skilled Nursing Facility · Pine City, MN
Provider details
- NPI number
- 1043200355
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Mcmahon, Cfo(320) 629-2542
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
129 6th Ave Se
Pine City, MN 55063-1913
Phone: (320) 629-2542
Fax: (320) 629-1093
Street-level locationGet directions
Mailing address
129 6th Ave Se
Pine City, MN 55063-1913
Registry dates
- Enumerated
- 2005-10-27
- Last updated
- 2013-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.