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Lake Health Medical Center

Organization Active NPI General Acute Care Hospital · Concord TWP, OH

NPI 1104100601 · NPPES record last updated Oct 3, 2011

Key facts

NPI
1104100601
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
363LF0000X (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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 36

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

View all 36

National Provider Directory

Tax ID family
Lake Medical Center (37 organizations share this tax ID)

Specialties & licenses

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2011.

{
    "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

All providers in Concord TWP, OH · General Acute Care Hospital in Ohio

Sources for this page

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