Lake Hospital System Inc.
May also be knows as Lake Health Urgent Care And Walk In Center
Urgent Care Clinic/Center in Willowick, OH(View on Map)
Legal Business Name
Lake Hospital System Inc.
Also Known As
Lake Health Urgent Care And Walk In Center
NPI Number
1912967209
NPI Type
Organization
Enumeration Date
03/23/2006
Specialties
(Taxonomies)Name
Code
261QU0200X
207Q00000X
208D00000X
207R00000X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 781348
29804 LAKE SHORE BLVD
City
Detroit
Willowick
State
MI
OH
Postal Code
48278-1348
44095-4611
Country
US
US
Telephone Number
(800) 354-1895
(440) 585-3322
Authorized Official
Name
Mr. Bob Tracz
Title or Position
CFO
Telephone Number
(440) 354-1953
Identifiers
Identifier
264200001
80507
2017301
264200001
6600162
2440148
Identifier State
OH
OH
OH
OH
OH
OH
Identifier Issuer
DEPT OF LABOR
QUALCHOICE
Unknown
FEDERAL BLACK LUNG
UNITED HEALTHCARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/15/2017