Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Hospital System Inc

Organization Clinic/Center · NPI 1922390012

Lake Hospital System Inc is a Clinic/Center in Madison, Ohio. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6067 N Ridge Rd
Madison, OH 44057-2441
Phone: (440) 417-0002
Fax: (440) 417-0020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1922390012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kittoe — Cfo · (440) 354-1985
Other names Prime Health
NPI enumeratedMay 6, 2011
Last updated in NPPESSeptember 26, 2011
Mailing addressPo Box 714328, Columbus, OH 43271-4328