Primehealth Willowick Primary Care
LBN: Lake Hospital System
Primehealth Willowick Primary Care is an health care organization with primary practice located at 29804 Lakeshore Blvd , Willowick OH 44095. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lake Hospital System can be contacted via phone (440) 833-2095, or through Tracz, Robert via phone (440) 354-1051.
Contact Information
Primary practice address
29804 Lakeshore Blvd
Willowick OH 44095
Phone: (440) 833-2095
Fax: (440) 833-2096
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-084193 | Ohio |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35-084193 |
Profile Details
NPI number | 1326141987 |
---|---|
LBN Legal business name | Lake Hospital System |
DBA Doing business as | Primehealth Willowick Primary Care |
Authorized official | Tracz, Robert |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Sep 7th, 2006 |
Last updated | Apr 8th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326141987 | NPPES |
Ohio | MEDICAID | 2694259 |
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