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LAKE HEALTH
NPI 1356675003
General Acute Care Hospital in Concord Twp, OH

Active since September 29, 2009CLIA 36D2322142 · Waiver
7590 AUBURN RD, CONCORD TWP, OH 44077(440) 953-9600 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE HEALTH (NPI 1356675003) is a healthcare organization registered as a general acute care hospital in Concord Twp, Ohio and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through April 15, 2027 and lists Robert Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356675003
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameLAKE HOSPITAL SYSTEM, INC
Location Address7590 AUBURN RDConcord Twp, OH 44077-9176
Mailing Address36000 Euclid AveWilloughby, OH 44094-4625 · (440) 953-9600
Phone(440) 953-9600
Organization SubpartNo
Authorized OfficialRobert TraczCfo · (440) 953-9600
Enumeration DateSeptember 29, 2009
Last NPPES UpdateDecember 17, 2009
✔ NPI 1356675003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Also ListedClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy 261QR0401X
7590 AUBURN RD, Concord Twp, OH 44077
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Other Names 1

Doing Business AsLake Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2322142

Lake Health Interventional Psychiatry · Willoughby, OH
Active · expires Apr 15, 2027
CLIA Number36D2322142
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorKeming Gao
Laboratory Phone(216) 337-3822
Laboratory LocationLake Health Interventional Psychiatry36000 Euclid Ave, Suite 97-5-05b, Willoughby, OH 44094
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE HOSPITAL SYSTEM INC.
Nurse Practitioner (Adult Health)
7590 AUBURN RD
CONCORD TWP, OH 44077
Lake County (440) 375-8152
BLAINE AARON CONCANNON
Emergency Medicine
7590 AUBURN RD
CONCORD TOWNSHIP, OH 44077
Lake County (440) 375-8100
PAMELA BRUNNER
Social Worker (Clinical)
7590 AUBURN RD
CONCORD TWP, OH 44077
Lake County (440) 354-1104
MISS LEAH ASHLEY AFSARIFARD ATC
Specialist/Technologist (Athletic Trainer)
7590 AUBURN RD
PAINESVILLE, OH 44077
Lake County (440) 375-8100
DR. JOHN R HAGOPIAN M.D.
Anesthesiology
7590 AUBURN RD
PAINESVILLE, OH 44077
Lake County (440) 350-0832
RENEE MICHELLE DESALVO AT, ATC
Specialist/Technologist (Athletic Trainer)
7590 AUBURN RD
PAINESVILLE, OH 44077
Lake County (440) 781-1689
DR. JOHN JOSEPH SCERBO M.D.
Anesthesiology
7590 AUBURN RD
PAINESVILLE, OH 44077
Lake County (440) 350-0832
EMILY KAY MCKEEN PA-C
Physician Assistant
7590 AUBURN RD
CONCORD TOWNSHIP, OH 44077
Lake County (440) 375-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Hospital System, Inc's NPI number?

The NPI number for Lake Hospital System, Inc is 1356675003. It was assigned to this organization in the NPPES registry on September 29, 2009. The provider is doing business as Lake Health.

Where is Lake Hospital System, Inc located?

Lake Hospital System, Inc is located at 7590 Auburn Rd, Concord Twp, OH 44077. The listed phone number is (440) 953-9600.

What is Lake Hospital System, Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Lake Hospital System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2322142) is associated with this NPI, valid through April 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Hospital System, Inc accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Lake Hospital System, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Hospital System, Inc was last updated on December 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.