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Lake Hospital System, Inc

Urgent Care Clinic/Center in Madison, OH · enumerated 2006 · authorized official Robert Tracz, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134189376

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Hospital System, Inc
Other name <Unavail>
Practice address 6270 N Ridge Rd, Madison, OH, 44057
Fax (440) 417-0020
Enumeration date Mar 23, 2006
Last updated in NPPES Feb 15, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Robert Tracz
Title Cfo

Other identifiers

Identifier Type State Issuer
264200002 Other OH FEDERAL BLACK LUNG
6600162 Other OH UNITED HEALTHCARE
264200002 Other OH DEPT OF LABOR
80507 Other OH QUALCHOICE
2017301 Medicaid OH -
2440166 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Hospital System, Inc?
Lake Hospital System, Inc is registered in NPPES as a Urgent Care Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-15.