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LAKESIDE MEMORIAL HOSPITAL INC.
NPI 1639136153
General Acute Care Hospital in Brockport, NY

Active since April 27, 2006
156 WEST AVE, BROCKPORT, NY 14420(585) 395-6095(585) 395-6036 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Memorial Hospital Inc. NPPES

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

LAKESIDE MEMORIAL HOSPITAL INC. (NPI 1639136153) is a healthcare organization registered as a general acute care hospital in Brockport, New York and active in the NPI registry since April 2006. The organization lists Michael Stapleton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639136153
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameLAKESIDE MEMORIAL HOSPITAL INC.
Location Address156 WEST AVEBrockport, NY 14420-1229
Mailing Address156 West AveBrockport, NY 14420-1229 · (585) 395-6095 · Fax (585) 395-6036
Phone(585) 395-6095
Fax(585) 395-6036
Organization SubpartNo
Authorized OfficialMichael StapletonCeo · (585) 395-6095
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 25, 2009
✔ NPI 1639136153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedEmergency MedicineTaxonomy 207P00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
156 WEST AVE, Brockport, NY 14420
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Other Identifiers 9

Other14005907NY · Excellus-phys & Mid Pract
Medicare OSCAR/certification330037NY
Other12005907NY · Excellus - Inpatient
Other106418AZNY · Preferred Care-phys & Mid
Other02198570NY · Medicaid-phys & Mid Pract
Other70000ANY · Medicare-phys & Mid Pract
Other14005907NY · Excellus - Outpatient
Medicaid00279543NY
Other100003CFNY · Preferred Care

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.

LAKESIDE IMAGING, LLC
Radiology (Diagnostic Radiology)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (716) 859-2954
DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
EMMA LEATHAM PA-C
Physician Assistant (Medical)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 758-7557
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
INTERNAL MEDICINE AT LAKESIDE
Internal Medicine
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321

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 Lakeside Memorial Hospital Inc.'s NPI number?

The NPI number for Lakeside Memorial Hospital Inc. is 1639136153. It was assigned to this organization in the NPPES registry on April 27, 2006.

Where is Lakeside Memorial Hospital Inc. located?

Lakeside Memorial Hospital Inc. is located at 156 West Ave, Brockport, NY 14420. The listed phone number is (585) 395-6095.

What is Lakeside Memorial Hospital Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeside Memorial Hospital Inc. was last updated on August 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.