Lake Region Healthcare Corporation
Durable Medical Equipment & Medical Supplies
111 W Vernon Ave, Fergus Falls
Minnesota, 56537-2741
218-736-8000 Lake Region Healthcare Corporation is a Durable Medical Equipment & Medical Supplies in Fergus Falls, Minnesota. It is located at 111 W Vernon Ave, Fergus Falls and it's customer support contact number is 218-736-8000. The authorized person of Lake Region Healthcare Corporation is Kent Mattson who is Ceo of this DME and his contact number is 218-736-8090. Active license number of Lake Region Healthcare Corporation is 1783 for Durable Medical Equipment & Medical Supplies in Minnesota. Lake Region Healthcare Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lake Region Healthcare Corporation is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Lake Region Healthcare Corporation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Lake Region Healthcare Corporation |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 111 W Vernon Ave, Fergus Falls,
Minnesota, 56537-2741 |
| Phone: | 218-736-8000 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kent Mattson |
| Position: | Ceo |
| Contact Number: | 218-736-8090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1922471804 |
| NPI Enumeration Date: | 02 Nov, 2015 |
| NPI Last Update On: | 19 Aug, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Region Healthcare Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 1783 | Minnesota | Primary | |
| Eyewear Supplier (equipment, Not The Service) | 1783 | Minnesota | Secondary | |
Medicare Enrollment:
Lake Region Healthcare Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3971565334 | O20170206002887 | Lake Region Healthcare Corporation | DME SUPPLIER - OPTICIAN |
Products Available:
Lake Region Healthcare Corporation has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Contact Lenses | • Prosthetic Lenses: Conventional Eyeglasses |
| • Prosthetic Lenses: Prosthetic Cataract Lenses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 712 S Cascade St,
Fergus Falls, Minnesota |
| Zip: | 56537-2913 |
| Phone Number: | 218-736-8000 |
Patients can reach Lake Region Healthcare Corporation at
111 W Vernon Ave, Fergus Falls, Minnesota or can
call on customer care at 218-736-8000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.