| Lake Hospital System, Inc. | |
|
9485 Mentor Ave #210 Mentor OH 44060-4597 | |
| (440) 205-5745 | |
| (440) 205-5735 |
| Full Name | Lake Hospital System, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9485 Mentor Ave, Mentor, Ohio |
| Authorized Official Name and Position | Robert Tracz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4403541051 |
| 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: (800) 354-1985 | Lake Hospital System, Inc. 9485 Mentor Ave #210 Mentor OH 44060-4597 Ph: (440) 205-5745 |
| NPI Number | 1861420804 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861420804 | NPI | - | NPPES |
| 2183499 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
University Primary Care Practices Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9000 Mentor Ave Ste 204, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481 | |
Crossroads Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9220 Mentor Ave, Mentor, OH 44060 Phone: 440-354-9924 Fax: 877-242-9583 | |
Hackett Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8300 Tyler Blvd, Suite 300, Mentor, OH 44060 Phone: 440-205-1529 Fax: 440-205-0840 | |
Bowersox Wound Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6966 Heisley Rd Ste F, Mentor, OH 44060 Phone: 440-488-4575 | |
Wound Think Consulting, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5452 Grace Dr, Mentor, OH 44060 Phone: 440-227-2000 | |
Suhas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9110 Mentor Ave Ste 9b, Mentor, OH 44060 Phone: 440-701-8030 | |
Marvin A Feldstein Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8224 Mentor Ave, Ste 146, Mentor, OH 44060 Phone: 440-255-3555 Fax: 440-255-4959 |