Primehealth Chardon Family Practice

LBN: Lake Hospital System Inc
Primehealth Chardon Family Practice is an health care organization with primary practice located at 510 Fifth Avenue , Chardon OH 44024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lake Hospital System Inc can be contacted via phone (440) 279-1528, or through Tracz, Robert via phone (440) 354-1051.

Contact Information

Primary practice address
510 Fifth Avenue Chardon OH 44024
Phone: (440) 279-1528
Fax: (440) 279-1516
Website:
Map and Directions
Authorized official contact:
Name: Tracz, Robert
Phone: (440) 354-1051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1538101985
LBN Legal business name Lake Hospital System Inc
DBA Doing business as Primehealth Chardon Family Practice
Authorized official Tracz, Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 11th, 2006
Last updated Sep 6th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538101985 NPPES
Ohio MEDICAID 2017294

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