LAKELAND COMMUNITY HOSPITAL WATERVLIET (NPI# 1023114741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023114741 |
| Entity Type | Organization |
| Organization Name | LAKELAND COMMUNITY HOSPITAL WATERVLIET |
| Practice Address |
525 S Center St Hartford MI 49057-1362 |
| Mailing Address |
400 Medical Park Drive Watervliet MI 49098 |
| Practice Telephone | 2696214063 |
| Practice Fax Number | 2696219972 |
| Mailing Telephone | 2694632448 |
| Mailing Fax Number | 2694635351 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | TIM J CALHOUN (VP FINANCE/CFO) |
| Authorized Official Telephone | 2699838300 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKELAND REGIONAL HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 700A160280 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568644052 | Lakeland Community Hospital Watervliet | Family Medicine | 400 Medical Park Drive, Watervliet, MI 49098 | 2007-11-27 |
| 1538592753 | Lakeland Community Hospital Watervliet | Clinic/Center | 2002 S 11th St, Niles, MI 49120-4074 | 2013-08-12 |
| 1033243399 | Lakeland Community Hospital Watervliet | Rehabilitation Unit | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2007-03-16 |
| 1508924770 | Lakeland Community Hospital Watervliet | Emergency Medicine | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2006-12-04 |
| 1083710701 | Lakeland Community Hospital Watervliet | Family Medicine | 6701 Paw Paw Ave, Coloma, MI 49038-9519 | 2006-09-16 |
| 1700994845 | Lakeland Community Hospital Watervliet | General Acute Care Hospital | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2006-08-28 |
| Street Address |
525 S CENTER ST |
| City | HARTFORD |
| State | MI |
| Zip Code | 49057-1362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609543 | Kellie Distefano | Family Medicine | 525 S Center St, Hartford, MI 49057-1362 | 2006-04-19 |
| 1487974663 | Jay Shah | Family Medicine | 525 S Center St, Hartford, MI 49057-1362 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679833958 | Seth William Griffin | Dentist | 19 W. South St, Hartford, MI 49057 | 2012-05-21 |
| 1457624074 | Sandra Lynn Sharp | Social Worker | 57150 Cr. 681, Hartford, MI 49057 | 2012-02-13 |
| 1467647412 | Amanda Crystal-dawn Ramtahal | Social Worker | 57418 Cr. 681, Suite C., Hartford, MI 49057 | 2007-09-12 |
| 1447445697 | Traci Jo Drake | Social Worker | 57150 Cr 681, Hartford, MI 49057 | 2007-09-11 |
| 1639364888 | Tammy Sue Curtis | Social Worker | 57418 Cr 681, Suite C, Hartford, MI 49057 | 2007-09-11 |
| 1346340817 | Drs. Ed & Sue Liebenthal Plc | Dentist | 19 W.south St., Hartford, MI 49057 | 2006-09-25 |
| 1093177040 | Janette Rose Winters | Dental Hygienist | 57418 Cr 681, Hartford, MI 49057 | 2016-03-28 |
| 1295097889 | Van Buren Community Mental Health Authority | Social Worker | 57418 County Road 681, Suite C, Hartford, MI 49057 | 2012-06-11 |
| 1629371091 | Nora Adessa Fox-wentz | Psychologist | 57418 Cr. 681, Suite C, Hartford, MI 49057 | 2010-12-07 |
| 1982916045 | Van Buren Community Mental Health Authority | Counselor | 57418 Cr 681, Suite C, Hartford, MI 49057 | 2010-07-06 |
| Find all providers in zip 49057 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748688 | Holy Family Healthcare | Clinic/Center | 301 N Center St, Hartford, MI 49057-1199 | 2016-09-21 |
| 1013285709 | Ohio County Hosptial Corporation | Clinic/Center | 20 Mcmurtry Ave, Hartford, KY 42347-1614 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.