Lake Hospital System, Inc in Detroit - General Practice
Lake Hospital System, Inc - NPI 1689634966
Lake Hospital System, Inc is a General Practice in Detroit, Michigan. Lake Hospital System, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lake Hospital System, Inc is 1689634966. The last update date is 2017-02-17.
Lake Hospital System, Inc's current location address is Po Box 781348, Detroit, Michigan. You can contact this provider via phone number 4402868908 and fax number 4402791527. The mailing address for Lake Hospital System, Inc is Po Box 781348, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Hospital System, Inc |
|---|---|
| Address | Po Box 781348, Detroit, Michigan |
| Phone Number | 4402868908 |
| Fax Number | 4402791527 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Tracz Robert |
| Telephone Number | 4403541952 |
NPI Number Detail
| NPI Number | 1689634966 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2017-02-17 |
Provider Mailing Address Detail
| Address | Po Box 781348 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482784110 |
| Phone Number | 4402868908 |
| Fax Number | 4402791527 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 264200003 | OH | DEPT OF LABOR | |
| 264200003 | OH | FEDERAL BLACK LUNG | |
| 2475352 | OH | -- | |
| 6600162 | OH | UNITED HEALTHCARE | |
| 2017301 | OH | -- | |
| 80507 | OH | QUALCHOICE |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Hospital System, Inc by the Centers for Medicare & Medicaid Services?
The Lake Hospital System, Inc has been assigned the NPI (National Provider Identifier) 1689634966. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lake Hospital System, Inc?
The Lake Hospital System, Inc is physically situated at Po Box 781348, in the city of Detroit, state of MI, with the postal code 482784110.
What is Lake Hospital System, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lake Hospital System, Inc is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689634966 to Lake Hospital System, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1689634966 to Lake Hospital System, Inc on 2006-03-23.
As of what date were the details pertaining to Lake Hospital System, Inc last refreshed?
The information related to the Lake Hospital System, Inc, including its address, specialty, and other relevant details, was last updated on 2017-02-17.
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