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:
Map and Directions
Authorized official contact:
Name: Stapleton, Michael
Phone: (585) 395-6095

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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