LAKE HOSPITAL SYSTEM INC – NPI #1518264043
Family Medicine

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 is a provider located in PERRY, OH. NPPES has assigned the NPI number 1518264043 to LAKE HOSPITAL SYSTEM INC on February 18, 2011. 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 PRIME HEALTH PERRY HEALTH AND WELLNESS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Jun 22, 2011. 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
1518264043
Enumeration Date

(more than 15 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: PRIME HEALTH PERRY HEALTH AND WELLNESS
Primary location
2 SUCCESS BLVD
PERRY, OH 44081-9404
Phone: (440) 375-8590 Fax: (440) 259-2106
Mailing address
PO BOX 714328
COLUMBUS, OH 43271-4328
Phone: (440) 354-1985 Fax: (440) 350-4938
Organization Subpart
No
Authorized Official
MICHAEL KITTOE
CFO
Phone: (440) 354-1085
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.

DescriptionIssuerStateIdentifier
MEDICAIDOH2925964
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
207Q00000X
- Family Medicine (Primary)
261Q00000X
- Clinic/Center

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.