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LAKE HEALTH URGENT CARE AND WALK IN CLINIC
NPI 1689634966
Clinic/Center - Urgent Care in Chardon, OH

Active since March 23, 2006
510 5TH AVE, CHARDON, OH 44024(440) 286-8908(440) 257-1527 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Health Urgent Care And Walk In Clinic NPPES

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

LAKE HEALTH URGENT CARE AND WALK IN CLINIC (NPI 1689634966) is a healthcare organization registered as an urgent care in Chardon, Ohio and active in the NPI registry since March 2006. The organization lists Robert Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689634966
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKE HOSPITAL SYSTEM, INC
Location Address510 5TH AVEChardon, OH 44024-1077
Mailing AddressPo Box 781348Detroit, MI 48278-4110 · (440) 286-8908 · Fax (440) 279-1527
Phone(440) 286-8908
Fax(440) 257-1527
Organization SubpartNo
Authorized OfficialRobert TraczCfo · (440) 354-1952
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1689634966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
510 5TH AVE, Chardon, OH 44024
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Other Names 1

Doing Business AsLake Health Urgent Care And Walk In Clinic

Other Identifiers 10

Other6600162OH · United Healthcare
Other=========008OH · Tricare
Other264200003OH · Federal Black Lung
Medicare PIN9368241OH
Other=========043OH · Medical Mutual Of Ohio
Other80507OH · Qualchoice
Other264200003OH · Dept Of Labor
Other=========12OH · Workers Comp
Medicaid2017301OH
Medicaid2475352OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

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

TIMOTHY RICHARD NEELY DO
Family Medicine
510 5TH AVE
CHARDON, OH 44024
Geauga County (440) 279-1500
LAKE ORTHOPAEDIC ASSOCIATES, INC.
Orthopaedic Surgery
510 5TH AVE
CHARDON, OH 44024
Geauga County (440) 352-1711

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 1689634966. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is doing business as Lake Health Urgent Care And Walk In Clinic.

Where is Lake Hospital System, Inc located?

Lake Hospital System, Inc is located at 510 5th Ave, Chardon, OH 44024. The listed phone number is (440) 286-8908.

What is Lake Hospital System, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

What insurance does Lake Hospital System, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield 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 February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.