LAKE HOSPITAL SYSTEM INC. (NPI# 1669778676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669778676 |
| Entity Type | Organization |
| Organization Name | LAKE HOSPITAL SYSTEM INC. |
| Other Organization Name | PRIME HEALTH |
| Practice Address |
15050 S Springdale Ave Middlefield OH 44062-9211 |
| Mailing Address |
Po Box 714328 Columbus OH 43271-4328 |
| Practice Telephone | 4406323024 |
| Practice Fax Number | 4406323026 |
| Mailing Telephone | 4403541985 |
| Mailing Fax Number | 4403504938 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | DAVE EBEL (CFO) |
| Authorized Official Telephone | 4403541985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prime Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912967209 | Lake Hospital System Inc. | Family Medicine | 29804 Lake Shore Blvd, Willowick, OH 44095-4611 | 2006-03-23 |
| 1043275837 | Lake Hospital System Inc. | Nurse Practitioner | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2006-04-18 |
| Street Address |
15050 S SPRINGDALE AVE |
| City | MIDDLEFIELD |
| State | OH |
| Zip Code | 44062-9211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306863402 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 15050 S Springdale Ave, Middlefield, OH 44062-9211 | 2006-07-16 |
| 1003416892 | Monica Yauger | Pharmacist | 15050 S Springdale Ave, Middlefield, OH 44062-9211 | 2020-10-29 |
| 1205477064 | Dual County Eyecare LLC | Optometrist | 15050 S Springdale Ave, Middlefield, OH 44062-9211 | 2019-10-03 |
| 1124101738 | Wal-mart Stores East, Lp | Technician/Technologist | 15050 S Springdale Ave, Middlefield, OH 44062-9211 | 2006-10-24 |
| 1871504829 | James Michael Kover | Optometrist | 15050 S Springdale Ave, Middlefield, OH 44062-9211 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260386 | Amanda Yoder | Homemaker | 17245 Madison, Middlefield, OH 44062 | 2020-09-17 |
| 1841537651 | Robert David Gavazzi | Chiropractor | 15914 West High Street, Middlefield, OH 44062 | 2013-01-14 |
| 1124277306 | Christine M. Nowak | Counselor | 15985 East High St., Suite 206, Middlefield, OH 44062 | 2008-09-12 |
| 1184801037 | University Hospitals Medical Practices Inc | Orthopaedic Surgery | 15976 East High Street, Ortho Suite, Middlefield, OH 44062 | 2008-01-23 |
| 1457571366 | Pamela Elizabeth Martin | Dentist | 16022 East High Street, Middlefield, OH 44062 | 2007-04-26 |
| 1366595506 | Craig John Farrell | Dentist | 16022 East High St, Middlefield, OH 44062 | 2007-01-19 |
| 1720181472 | Ohio Cvs Stores LLC | Pharmacy | 15925 West High St, Middlefield, OH 44062 | 2006-09-07 |
| 1295848133 | Isadore John Youshak | Optometrist | 15795 W High St, Middlefield, OH 44062 | 2006-08-16 |
| 1144297342 | Health Quest Compounding Pharmacy Inc | Pharmacy | 14895 N State Ave, Unit D Po, Middlefield, OH 44062 | 2006-03-07 |
| 1235398769 | Precision Orthopaedic Specialties Inc | Anesthesiology | 15976 East High Street, Middlefield, OH 44062 | 2008-06-09 |
| Find all providers in zip 44062 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1962002816 | Choice Clinical Research, LLC | Clinic/Center | 140 W Kemper Rd Ste B, Cincinnati, OH 45246-2530 | 2020-10-29 |
| 1295341204 | Southwest Injury and Rehab Center, Inc. | Clinic/Center | 7391 Brandt Pike Ste C, Dayton, OH 45424-3274 | 2020-09-16 |
| 1063027951 | Renewed Health Care Practice | Clinic/Center | 1101 Larona Rd, Trotwood, OH 45426-2574 | 2020-09-09 |
| 1295349132 | Guiding Hands Rehab, Inc. | Clinic/Center | 606 W State St, Fremont, OH 43420-2534 | 2020-09-08 |
| 1780294116 | Beautiful Beginnings & Beyond: Midwifery LLC | Clinic/Center | 19 Eldred Ave, Bedford, OH 44146-2637 | 2020-07-31 |
| 1235747494 | Patient Priority Clinical Sites, LLC | Clinic/Center | 1207 Springfield Pike, Cincinnati, OH 45215-2123 | 2020-07-14 |
| 1730707662 | Evolution Through Mind, Body, and Spirit, LLC | Clinic/Center | 14055 Cedar Rd Ste 200, Cleveland, OH 44118-3333 | 2020-07-07 |
| 1710501259 | Jean K Hoffman, Dc | Clinic/Center | 4555 Sugar Berry Ln, Hilliard, OH 43026-1977 | 2020-06-01 |
| 1588285712 | Springway Medical and Addiction Treatment Center | Clinic/Center | 8515 Flowering Cherry Dr, Blacklick, OH 43004-8832 | 2020-04-28 |
| 1518587997 | Owlbridge Wellness | Clinic/Center | 5146 Renaissance Park Dr, Franklin, OH 45005-9697 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEFIELD |
| Zip Code | 44062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.