Lakeside Memorial Hospital Inc.
LBN: Lakeside Memorial Hospital Inc.
Lakeside Memorial Hospital Inc. is an health care organization with primary practice located at 156 West Ave , Brockport NY 14420-1229. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Urgent Care, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty.
Lakeside Memorial Hospital Inc. can be contacted via phone (585) 395-6095, or through Stapleton, Michael via phone (585) 395-6095.
Contact Information
Primary practice address
156 West Ave
Brockport NY 14420-1229
Phone: (585) 395-6095
Fax: (585) 395-6036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | New York | |
| Hospitals / General Acute Care Hospital | 282N00000X |
Profile Details
| NPI number | 1639136153 |
|---|---|
| LBN Legal business name | Lakeside Memorial Hospital Inc. |
| DBA Doing business as | |
| Authorized official | Stapleton, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 25th, 2009 - about 16 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 | 1639136153 | NPPES |
| New York | Other | 14005907 | EXCELLUS - OUTPATIENT |
| New York | Other | 100003CF | EXCELLUS - OUTPATIENT |
| New York | Other | 106418AZ | EXCELLUS - OUTPATIENT |
| New York | Other | 70000A | EXCELLUS - OUTPATIENT |
| New York | Other | 02198570 | EXCELLUS - OUTPATIENT |
| New York | Other | 14005907 | EXCELLUS - OUTPATIENT |
| New York | MEDICAID | 00279543 | EXCELLUS - OUTPATIENT |
| New York | Other | 12005907 | EXCELLUS - OUTPATIENT |
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