| Lake Hospital System, Inc | |
|
6270 N Ridge Rd Madison OH 44057-2567 | |
| (440) 428-8256 | |
| (440) 417-0020 |
| Full Name | Lake Hospital System, Inc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 6270 N Ridge Rd, Madison, Ohio |
| Authorized Official Name and Position | Robert Tracz (CFO) |
| Authorized Official Contact | 4403541953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Hospital System, Inc Po Box 781348 Detroit MI 48278-4110 Ph: (800) 354-1985 | Lake Hospital System, Inc 6270 N Ridge Rd Madison OH 44057-2567 Ph: (440) 428-8256 |
| NPI Number | 1134189376 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 02/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134189376 | NPI | - | NPPES |
| 264200002 | Other | OH | FEDERAL BLACK LUNG |
| 6600162 | Other | OH | UNITED HEALTHCARE |
| 264200002 | Other | OH | DEPT OF LABOR |
| 80507 | Other | OH | QUALCHOICE |
| 2017301 | Medicaid | OH | |
| 2440166 | Medicaid | OH |
University Primary Care Practices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Lake St Ste 101, Madison, OH 44057 Phone: 440-428-7512 Fax: 440-428-4848 | |
Py Medical Services Of Oh Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6831 Chapel Rd, Madison, OH 44057 Phone: 440-428-5103 | |
Dr Frank Sailors & Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2999 Mcmackin Rd, Madison, OH 44057 Phone: 440-428-1111 Fax: 440-428-0709 | |
Meridia Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2999 Mcmackin Rd, Madison, OH 44057 Phone: 440-428-1111 Fax: 440-428-0709 | |
Advanced Concepts In Endoscopy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6550 N Ridge Rd, Madison, OH 44057 Phone: 440-428-1944 Fax: 440-428-5847 | |
University Primary Care Practices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Lake St Ste 102, Madison, OH 44057 Phone: 440-428-1106 Fax: 440-428-8697 |