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LAKE HOSPITAL SYSTEM INC. NPI 1316198724


NPI Information

NPI: 1316198724
Provider Name: LAKE HOSPITAL SYSTEM, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 36D0334777

Address:
7580 AUBURN ROAD
SUITE 202
CONCORD TOWNSHIP, OH
ZIP 44077
Phone: (440) 352-0400
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LAKE HOSPITAL SYSTEM, INC. is a family medicine in Concord Township, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKE HOSPITAL SYSTEM, INC. NPI is 1316198724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7580 AUBURN ROAD
SUITE 202
CONCORD TOWNSHIP, OH
ZIP 44077
Phone: (440) 352-0400
Fax: (440) 352-4535

The provider's authorized official is Robert B Tracz .
The authorized official title is Chief Financial Officer and has the following contact phone number (440) 354-1642.

The CLIA number assigned to this NPI record is 36D0334777 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LA9368241OTHEROHIOMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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