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Lakeside Memorial Hospital Inc.

General Acute Care Hospital in Brockport, NY · enumerated 2006 · authorized official Michael Stapleton, Ceo.

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

National Provider Identifier

1639136153

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Memorial Hospital Inc.
Practice address 156 West Ave, Brockport, NY, 14420
Phone (585) 395-6095
Fax (585) 395-6036
Enumeration date Apr 27, 2006
Last updated in NPPES Aug 25, 2009

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary
282N00000X General Acute Care Hospital Hospitals Primary

Authorized official

Name Michael Stapleton
Title Ceo
Phone (585) 395-6095

Other identifiers

Identifier Type State Issuer
14005907 Other NY EXCELLUS - OUTPATIENT
100003CF Other NY PREFERRED CARE
106418AZ Other NY PREFERRED CARE-PHYS & MID
70000A Other NY MEDICARE-PHYS & MID PRACT
02198570 Other NY MEDICAID-PHYS & MID PRACT
14005907 Other NY EXCELLUS-PHYS & MID PRACT
00279543 Medicaid NY -
12005907 Other NY EXCELLUS - INPATIENT

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

Who is the authorized official for Lakeside Memorial Hospital Inc.?
NPPES lists Michael Stapleton (Ceo) as the authorized official for this organization.
What is the NPI number for Lakeside Memorial Hospital Inc.?
The NPI for Lakeside Memorial Hospital Inc. is 1639136153, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-25.