OrganizationActive
Lake Hospital System Inc
NPI 1922390012 · Clinic/Center · Madison, OH
Provider details
- NPI number
- 1922390012
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Kittoe, Cfo(440) 354-1985
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6067 N Ridge Rd
Madison, OH 44057-2441
Phone: (440) 417-0002
Fax: (440) 417-0020
Street-level locationGet directions
Mailing address
Po Box 714328
Columbus, OH 43271-4328
Other names (DBA / former)
- Other name
- Prime Health
Registry dates
- Enumerated
- 2011-05-06
- Last updated
- 2011-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.