Active NPI
Lake County Free Clinic
- Voluntary or Charitable Agency
- Painesville, OH
National Provider Identifier
1730397282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0716416 | Medicaid | OH |
Other names 1
- Free Clinic of Lake County
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0334775 | Lake County Free Clinic | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.