NPIMap

Organization Active NPI

Lake Health Medical Center

  • General Acute Care Hospital
  • Concord TWP, OH
National Provider Identifier
1104100601
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
363LF0000X Issued in OH
Legal business name
LAKE HEALTH MEDICAL CENTER
Practice address
7580 Auburn Rd
Suite 207
Concord TWP, OH 44077-9615
Phone
(440) 953-6082
Fax
(440) 953-6138
NPI assigned
Oct 3, 2011
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Donna M Kuta, MSN, CNP, FNP, RN
Title
CNP
Phone
(440) 354-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 363LF0000X OH Primary

Addresses

Primary practice location

7580 Auburn Rd
Suite 207
Concord TWP, OH 44077-9615

Mailing address

7580 Auburn Rd
Suite 207
Concord TWP, OH 44077-9615
Phone (440) 354-1802

National Provider Directory

National Provider Directory
Tax ID family
Lake Medical Center37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

7580 Auburn Rd
Ste 207
Concord Township, OH 44077
Phone (440) 354-1802

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1104100601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "address_2": "SUITE 207",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-354-1802",
            "fax_number": "440-953-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "address_2": "SUITE 207",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779615",
            "telephone_number": "440-953-6082",
            "fax_number": "440-953-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HEALTH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "KUTA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "440-354-1802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, CNP, FNP, RN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "363LF0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.