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Lakeland Village

Intellectual Disabilities Intermediate Care Facility in Medical Lake, WA · enumerated 2007 · authorized official Kathryn Montague, Superintendent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366594228

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeland Village
Practice address S 2320 Salnave Road, Medical Lake, WA, 99022
Phone (509) 299-1001
Fax (509) 299-1070
Enumeration date Jan 18, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kathryn Montague
Title Superintendent
Phone (509) 299-1001

Other identifiers

Identifier Type State Issuer
4012001 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakeland Village?
The NPI for Lakeland Village is 1366594228, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeland Village?
NPPES lists Kathryn Montague (Superintendent) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.