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LAKE HOSPITAL SYSTEM INC. NPI 1912181595


NPI Information

NPI: 1912181595
Provider Name: LAKE HOSPITAL SYSTEM, INC.

Doing Business As: PRIMEHEALTH PEDIATRICS CHARDON

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
510 FIFTH AVENUE
CHARDON, OH
ZIP 44024
Phone: (440) 279-1526
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LAKE HOSPITAL SYSTEM, INC. is a pediatrics in Chardon, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LAKE HOSPITAL SYSTEM, INC. NPI is 1912181595. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Primehealth Pediatrics Chardon.

The provider's business location address is:

510 FIFTH AVENUE
CHARDON, OH
ZIP 44024
Phone: (440) 279-1526
Fax: (440) 279-1527

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 enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.


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
1208000000XPediatricsYes

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: 4/28/2024

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