LAKE HOSPITAL SYSTEM, INC – NPI #1134189376
Clinic/Center

LAKE HOSPITAL SYSTEM, INC is an AHC clinic located in MADISON, OH. NPPES has assigned the NPI number 1134189376 to LAKE HOSPITAL SYSTEM, INC on March 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LAKE HOSPITAL SYSTEM, INC is also known by the name LAKE HEALTH URGENT CARE AND WALK IN CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 9 years ago on Feb 15, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE HOSPITAL SYSTEM, INC below.

NPI Profile for
LAKE HOSPITAL SYSTEM, INC

NPI Number
1134189376
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE HOSPITAL SYSTEM, INC
Other Name: LAKE HEALTH URGENT CARE AND WALK IN CENTER
Primary location
6270 N RIDGE RD
MADISON, OH 44057-2567
Phone: (440) 428-8256 Fax: (440) 417-0020
Mailing address
PO BOX 781348
DETROIT, MI 48278-4110
Phone: (800) 354-1985 Fax:
Organization Subpart
No
Authorized Official
ROBERT TRACZ
CFO
Phone: (440) 354-1953
Updated
Identifiers

Identifiers for LAKE HOSPITAL SYSTEM, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDEPT OF LABOROH264200002
OTHERFEDERAL BLACK LUNGOH264200002
OTHERQUALCHOICEOH80507
OTHERUNITED HEALTHCAREOH6600162
MEDICAIDOH2440166
MEDICAIDOH2017301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
208D00000X
- General Practice
207R00000X
- Internal Medicine
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.