PRIMEHEALTH CHARDON FAMILY PRACTICE – NPI #1538101985
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.

PRIMEHEALTH CHARDON FAMILY PRACTICE is a provider located in CHARDON, OH. NPPES has assigned the NPI number 1538101985 to PRIMEHEALTH CHARDON FAMILY PRACTICE on June 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMEHEALTH CHARDON FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is LAKE HOSPITAL SYSTEM INC. 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 19 years ago on Sep 06, 2007. 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 PRIMEHEALTH CHARDON FAMILY PRACTICE below.

NPI Profile for
LAKE HOSPITAL SYSTEM INC

NPI Number
1538101985
Enumeration Date

(about 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
Doing Business As (dba): PRIMEHEALTH CHARDON FAMILY PRACTICE
Primary location
510 FIFTH AVENUE
CHARDON, OH 44024
Phone: (440) 279-1528 Fax: (440) 279-1516
Mailing address
PO BOX 714328
COLUMBUS, OH 43271-4328
Phone: (800) 354-1985 Fax: (440) 350-4938
Organization Subpart
Yes - PRIMEHEALTH CHARDON FAMILY PRACTICE is subpart of another organization.
Authorized Official
ROBERT TRACZ
CHIEF FINANCIAL OFFICER
Phone: (440) 354-1051
Updated
Identifiers

Identifiers for PRIMEHEALTH CHARDON FAMILY PRACTICE

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
MEDICAIDOH2017294
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)

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.