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Organization
LAKEWOOD HOSPITAL ASSOCIATION
Active
Organization
LAKEWOOD HOSPITAL ASSOCIATION
Active
Other names
Lakewood Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GLASS (CFO)
(216) 444-9361
Entity
Organization
Contact information
Practice address
14519 DETROIT AVE, LAKEWOOD, OH 44107-4316
(216) 521-4200
Mailing address
6801 BRECKSVILLE RD, SUITE 20 RK10, INDEPENDENCE, OH 44131-5032
(216) 636-8051
(216) 636-8088
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000157342
ANTHEM
—
01
—
100748
KAISER
OH
05
—
4923882
—
OH
01
—
5000096
UNITED HEALTHCARE
—
01
—
521890
AETNA
OH
Enumeration date
05/18/2006
Last updated
08/22/2020
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