LAKE HEALTH URGENT CARE AND WALK IN CENTER
NPI 1912967209
Clinic/Center - Urgent Care in Willowick, OH

Active since March 23, 2006
29804 LAKE SHORE BLVD, WILLOWICK, OH 44095(440) 585-3322(440) 585-1962 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Health Urgent Care And Walk In Center NPPES

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

LAKE HEALTH URGENT CARE AND WALK IN CENTER (NPI 1912967209) is a healthcare organization registered as an urgent care in Willowick, Ohio and active in the NPI registry since March 2006. The organization lists Bob Tracz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912967209
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLAKE HOSPITAL SYSTEM INC.
Location Address29804 LAKE SHORE BLVDWillowick, OH 44095-4611
Mailing AddressPo Box 781348Detroit, MI 48278-1348 · (800) 354-1895 · Fax (440) 585-1962
Fax(440) 585-1962
Organization SubpartNo
Authorized OfficialBob TraczCfo · (440) 354-1953
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 15, 2017
NPI 1912967209 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
29804 LAKE SHORE BLVD, Willowick, OH 44095

Other Names 1

Other NameLake Health Urgent Care And Walk In Center

Other Identifiers 9

Other80507OH · Qualchoice
Other264200001OH · Federal Black Lung
Medicaid2440148OH
Other=========006OH · Tricare
Medicare PIN9368241OH
Other264200001OH · Dept Of Labor
Other6600162OH · United Healthcare
Other=========09OH · Workers Comp
Medicaid2017301OH

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

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.

Registered Nurse
29804 LAKE SHORE BLVD
WILLOWICK, OH 44095
Family Medicine
29804 LAKE SHORE BLVD
WILLOWICK, OH 44095

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 1912967209. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is also known as Lake Health Urgent Care And Walk In Center.

Where is Lake Hospital System Inc. located?

Lake Hospital System Inc. is located at 29804 Lake Shore Blvd, Willowick, OH 44095. The listed phone number is (440) 585-3322.

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 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 February 15, 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.