LAKELAND COMMUNITY HOSPITAL WATERVLIET


Address: 6701 Paw Paw Ave, Coloma, MI 49038-9519
Phone: 2694686430

LAKELAND COMMUNITY HOSPITAL WATERVLIET (NPI# 1083710701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083710701
Entity Type Organization
Organization Name LAKELAND COMMUNITY HOSPITAL WATERVLIET
Practice Address 6701 Paw Paw Ave
Coloma
MI 49038-9519
Mailing Address 400 Medical Park Drive
Watervliet
MI 49098
Practice Telephone 2694686430
Practice Fax Number 2694680013
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM 700A110160 01

Other Provider IDs and Locations

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
1023114741 Lakeland Community Hospital Watervliet Family Medicine 525 S Center St, Hartford, MI 49057-1362 2006-09-16
1700994845 Lakeland Community Hospital Watervliet General Acute Care Hospital 400 Medical Park Dr, Watervliet, MI 49098-9225 2006-08-28

Office Location

Street Address 6701 PAW PAW AVE
City COLOMA
State MI
Zip Code 49038-9519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932191202 Jaime Rodriguez Pediatrics 6701 Paw Paw Ave, Coloma, MI 49038-9519 2005-08-22
1265898878 Brandi Smith Nurse Practitioner 6701 Paw Paw Ave, Coloma, MI 49038 2016-01-12
1609219070 Susan Kasko Family Medicine 6701 Paw Paw Ave, Coloma, MI 49038-9519 2013-04-16
1851403307 Michael E Mayle Family Medicine 6701 Paw Paw Ave, Coloma, MI 49038-9519 2006-08-31
1942253612 Edwin Keith Newington Family Medicine 6701 Paw Paw Ave, Coloma, MI 49038-9519 2006-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528494135 Gerald Carl Thiele Hearing Instrument Specialist 6693 Red Arrow Hwy, Coloma, MI 49038 2013-09-16
1518283100 Jeffrey Thomas Perrapato Thoracic Surgery (Cardiothoracic Vascular Surgery) 6270 Lakewood Pointe Drive, Coloma, MI 49038 2010-04-08
1316123102 Moss Chiropractic Clinic P.C. Chiropractor 429 N. Paw Paw Street, Coloma, MI 49038 2008-01-11
1386848745 Daniel A Iliff Chiropractor 6560 Red Arrow Highway, Coloma, MI 49038 2007-06-12
1598711939 Darlene Suzanne Bruner-getz Dentist 213 N Paw Paw St, Coloma, MI 49038 2006-05-26
1194295782 Jeremy B Shelley Physical Therapist 7040 Red Arrow Hwy, Coloma, MI 49038 2018-11-27
1144866906 Healing Counseling Services LLC Social Worker 6572 Red Arrow Hwy Ste 2, Coloma, MI 49038-8700 2019-11-26
1457540908 Red Arrow Family Practice General Practice 6500 Red Arrow Hwy, Coloma, MI 49038-8700 2007-10-22
1962562397 Susan L Startup Social Worker 6560 Red Arrow Hwy, Coloma, MI 49038-8700 2006-12-08
1700813227 Judy D Henderson Internal Medicine 6572 Red Arrow Hwy, Coloma, MI 49038-8700 2006-06-28
Find all providers in zip 49038

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City COLOMA
Zip Code 49038

Improve Information

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Dataset Information

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.

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