| Lake Hospital System Inc | |
|
6067 N Ridge Rd Madison OH 44057-2441 | |
| (440) 417-0002 | |
| (440) 417-0020 |
| Full Name | Lake Hospital System Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 6067 N Ridge Rd, Madison, Ohio |
| Authorized Official Name and Position | Michael Kittoe (CFO) |
| Authorized Official Contact | 4403541985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Hospital System Inc Po Box 714328 Columbus OH 43271-4328 Ph: (440) 354-1985 | Lake Hospital System Inc 6067 N Ridge Rd Madison OH 44057-2441 Ph: (440) 417-0002 |
| NPI Number | 1922390012 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922390012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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