Lake Hospital System Inc
Pediatrics
Lake Hospital System Inc is a Mentor, Ohio based Pediatric center with medical specialization in
General Pediatrics. Lake Hospital System Inc is doing business as
Primehealth Pediatrics Mentor.
It is located at
9485 Mentor Ave, 101, Mentor, Ohio - 44060. They can be contacted on phone at
440-205-5800 and fax number 440-205-5801.
NPI number (Unique professional ID) for Lake Hospital System Inc is
1013951920 which was assigned by NPPES on 15 Jun, 2006 and it was last updated on 06 Sep, 2007.
Lake Hospital System Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lake Hospital System Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lake Hospital System Inc |
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| Other Name : | Primehealth Pediatrics Mentor |
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Business Address:
Lake Hospital System Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9485 Mentor Ave, 101
Mentor, OH, 44060
United States |
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| Phone Number : | 440-205-5800 |
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| Fax Number : | 440-205-5801 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013951920 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Jun, 2006 |
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| Last Updated On : | 06 Sep, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Robert Tracz |
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| Official Title or Position : | CHIEF FINANCIAL OFFICER |
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| Phone Number : | 440-354-1051 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Hospital System Inc are as mentioned. Primary taxonomy code for Lake Hospital System Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Lake Hospital System Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2017258 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 714328
Columbus, OH, 43271-4328
United States |
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| Phone Number : | 800-354-1985 |
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| Fax Number : | 440-350-4938 |
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Business Location:
Patients can refer following map for directions to
Lake Hospital System Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.