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Contact Information

LAKE HOSPITAL SYSTEM, INC
74 S PARK PLACE
PAINESVILLE, OH44077
 Phone: 440-354-3887
 Fax: 440-354-4071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for LAKE HOSPITAL SYSTEM, INC

NPI # 1699000281
LBN Legal business name LAKE HOSPITAL SYSTEM, INC
Authorized official ROBERT TRACZ - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2009
Last updated 02/17/2017 - About 9 years ago
Identifiers
OH Medicaid 2017301
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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