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Organization

LAKE HOSPITAL SYSTEM, INC.

Active
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Organization

LAKE HOSPITAL SYSTEM, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL KITTOE (CFO)
(440) 354-1051
Entity
Organization

Contact information

Practice address
36000 EUCLID AVE, WILLOUGHBY, OH 44094-4625
(440) 953-9600
Mailing address
7590 AUBURN RD, CONCORD TWP, OH 44077-9176
(440) 375-8100

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360098
MEDICARE
—
05
—
4922507
—
OH
Enumeration date
06/22/2011
Last updated
06/22/2011
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