1689634966 LAKE HOSPITAL SYSTEM, INC

Urgent Care Clinic/Center

Active

Basic Information

Organization Name
LAKE HOSPITAL SYSTEM, INC
Enumeration Date
March 23, 2006
Last Update
February 17, 2017
Authorized Official
MR. ROBERT TRACZ
CFO
Phone: (440) 354-1952

Practice Location

Address
510 5TH AVE
CHARDON, OH 440241077
Phone
(440) 286-8908
Fax
(440) 257-1527

Mailing Address

Address
PO BOX 781348
DETROIT, MI 482784110
Phone
(440) 286-8908
Fax
(440) 279-1527

Specialties & Taxonomies

Specialty Code Classification License State Primary
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A No
General Practice Physician
208D00000X General Practice N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine N/A N/A No
Urgent Care Clinic/Center
Urgent Care
261QU0200X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
264200003 01 OH DEPT OF LABOR
264200003 01 OH FEDERAL BLACK LUNG
2475352 05 OH N/A
6600162 01 OH UNITED HEALTHCARE
2017301 05 OH N/A
80507 01 OH QUALCHOICE

Frequently Asked Questions

What is LAKE HOSPITAL SYSTEM, INC's NPI number?
LAKE HOSPITAL SYSTEM, INC's NPI number is 1689634966.
Which doctor has NPI number 1689634966?
The doctor with NPI number 1689634966 is LAKE HOSPITAL SYSTEM, INC.
What is LAKE HOSPITAL SYSTEM, INC's practice address?
LAKE HOSPITAL SYSTEM, INC's practice address is 510 5TH AVE, CHARDON, OH, 440241077.
Which doctor practices at 510 5TH AVE, CHARDON, OH, 440241077?
LAKE HOSPITAL SYSTEM, INC practices at 510 5TH AVE, CHARDON, OH, 440241077.
What is LAKE HOSPITAL SYSTEM, INC's mailing address?
LAKE HOSPITAL SYSTEM, INC's mailing address is PO BOX 781348, DETROIT, MI, 482784110.
What is LAKE HOSPITAL SYSTEM, INC's phone number?
LAKE HOSPITAL SYSTEM, INC's phone number is (440) 286-8908.
Who is (440) 286-8908?
(440) 286-8908 is the phone number for LAKE HOSPITAL SYSTEM, INC.
What is LAKE HOSPITAL SYSTEM, INC's specialty?
LAKE HOSPITAL SYSTEM, INC's specialty is Urgent Care Clinic/Center.
What type of doctor is LAKE HOSPITAL SYSTEM, INC?
LAKE HOSPITAL SYSTEM, INC is a Urgent Care Clinic/Center.
Is LAKE HOSPITAL SYSTEM, INC a Urgent Care?
Yes, LAKE HOSPITAL SYSTEM, INC is a Urgent Care.
Is LAKE HOSPITAL SYSTEM, INC still practicing?
Yes, LAKE HOSPITAL SYSTEM, INC is currently practicing.
Is LAKE HOSPITAL SYSTEM, INC accepting new patients?
LAKE HOSPITAL SYSTEM, INC may be accepting new patients. Please call their office at (440) 286-8908 to inquire about availability.
Is NPI 1689634966 still active?
Yes, NPI 1689634966 is currently active.
Where does LAKE HOSPITAL SYSTEM, INC practice?
LAKE HOSPITAL SYSTEM, INC practices in CHARDON, OH.