Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Lakeside Memorial Hospital Inc.

Specialist in Brockport, NY · enumerated 2006 · authorized official Stacey Share, Medical Biller.

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

National Provider Identifier

1972522670

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Registry record

Entity type Organization (Type 2)

Legal business name Lakeside Memorial Hospital Inc.

Other name <Unavail>

Parent organization Lakeside Memorial Hospital Inc.

Practice address 156 West Ave, Suite 104, Brockport, NY, 14420

Phone (585) 637-6040

Fax (588) 637-4737

Enumeration date Jul 19, 2006

Last updated in NPPES Jul 13, 2010

Taxonomy & classification

174400000X Specialist Other Service Providers · License 235519 (NY) Primary

Authorized official

Name Stacey Share

Title Medical Biller

Phone (585) 637-6040

Other identifiers

Identifier	Type	State	Issuer
0712876	Other	NY	INDEPENDENT HEALTH
7819729	Other	NY	AETNA
0027353001	Other	NY	UNIVERA
P010235519	Other	NY	BCBS ROCHESTER
00927965001	Other	NY	WNY
02675890	Medicaid	NY	-
170748CK	Other	NY	PREFFERED CARE

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.

Read the full guide → Validate an NPI →

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 Lakeside Memorial Hospital Inc.?

Lakeside Memorial Hospital Inc. is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-13.