Organization Active NPI

Lake County Free Clinic

  • Voluntary or Charitable Agency
  • Painesville, OH
National Provider Identifier
1730397282
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LAKE COUNTY FREE CLINIC
Practice address
462 Chardon St
Painesville, OH 44077-3019
Phone
(440) 352-8686
Fax
(440) 352-8107
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Ms. Meredith H Fratantonio, MPH
Title
Executive Director
Phone
(440) 352-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

462 Chardon St
Painesville, OH 44077-3019

Mailing address

462 Chardon St
Painesville, OH 44077-3019
Phone (440) 352-8686

Other identifiers 1

IdentifierTypeStateIssuer
0716416MedicaidOH

Other names 1

  • Free Clinic of Lake County Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0334775Lake County Free Clinic462 Chardon St, Painesville, OH 44077Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

462 Chardon St
Painesville, OH 44077
Phone (440) 352-8686

54 S State St
Ste 302
Painesville, OH 44077

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1730397282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 CHARDON ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773019",
            "telephone_number": "440-352-8686",
            "fax_number": "440-352-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 CHARDON ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773019",
            "telephone_number": "440-352-8686",
            "fax_number": "440-352-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY FREE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "FRATANTONIO",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-352-8686",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0716416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Clinic of Lake County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.