LAKELAND IMMEDIATE CARE CENTER (NPI# 1407266687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407266687 |
| Entity Type | Organization |
| Organization Name | LAKELAND IMMEDIATE CARE CENTER |
| Other Organization Name | RANGER WELLNESS CENTER |
| Practice Address |
22721 Diamond Cove St Cassopolis MI 49031-9711 |
| Practice Telephone | 2694459355 |
| Practice Fax Number | 2694459358 |
| Mailing Telephone | 2694459355 |
| Mailing Fax Number | 2694459358 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | MARY A MIDDLETON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2694453874 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKELAND IMMEDIATE CARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ranger Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866310 | Lakeland Immediate Care Center | Pharmacy | 1951 Oak St, Niles, MI 49120-3738 | 2019-11-22 |
| 1447701008 | Lakeland Immediate Care Center | Clinic/Center | 122 Grant St, Niles, MI 49120-2281 | 2016-10-19 |
| 1811389570 | Lakeland Immediate Care Center | Obstetrics & Gynecology | 60 N Saint Joseph Ave, Suite B, Niles, MI 49120-2296 | 2015-03-04 |
| 1114328614 | Lakeland Immediate Care Center | Pharmacy | 261 M 62, Cassopolis, MI 49031-1034 | 2014-09-16 |
| 1972913150 | Lakeland Immediate Care Center | Clinic/Center | 60 N Saint Joseph Ave, Niles, MI 49120-2296 | 2014-04-28 |
| 1760802912 | Lakeland Immediate Care Center | Clinic/Center | 24 N Saint Joseph Ave, Suite G, Niles, MI 49120-2263 | 2014-04-25 |
| 1982677548 | Lakeland Immediate Care Center | Family Medicine | 261 M 62, Cassopolis, MI 49031-1034 | 2006-02-13 |
| Street Address |
22721 DIAMOND COVE ST |
| City | CASSOPOLIS |
| State | MI |
| Zip Code | 49031-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053784884 | Stacey Vanlue | Dental Hygienist | 22721 Diamond Cove St, Cassopolis, MI 49031-9711 | 2015-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891241196 | Mike Hewlett | Dentist | 261 M-62, Cassopolis, MI 49031 | 2016-08-28 |
| 1093802902 | Van Buren/cass District Health Department | Public Health or Welfare | 201 M-62 North, Cassopolis, MI 49031 | 2006-10-10 |
| 1992804637 | Jennifer Lee Deer | Social Worker | 960 State St, Cassopolis, MI 49031 | 2006-09-21 |
| 1174639728 | Lewis Cass Intermediate School District | Local Education Agency (LEA) | 61682 Dailey Road, Cassopolis, MI 49031 | 2006-08-23 |
| 1841293230 | Kathy Joy Emans | Social Worker | 960 E. State, Cassopolis, MI 49031 | 2005-05-31 |
| 1861981268 | Leslie Lakeman | Physical Therapist | 23770 Hospital St, Cassopolis, MI 49031 | 2018-05-02 |
| 1922554633 | Maureen Raj | Counselor | 261 M-62, Cassopolis, MI 49031 | 2016-09-01 |
| 1326047002 | John H. Foster | Family Medicine | 109 School St, Cassopolis, MI 49031-1023 | 2005-07-15 |
| 1639594054 | Crystal Dawn Payton | Nurse Practitioner | 109 School St, Cassopolis, MI 49031-1023 | 2014-02-21 |
| 1336358159 | Van Buren Cass District Public Health Department | Public Health or Welfare | 201 M 62, Cassopolis, MI 49031-1034 | 2007-05-21 |
| Find all providers in zip 49031 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1760080972 | Hackley Community Care Center Inc | Clinic/Center | 1420 Madison St Ste A, Muskegon, MI 49442-5251 | 2020-10-12 |
| 1831706993 | Family Medical Center of Michigan, Inc | Clinic/Center | 503 Washington St Rm 150, Monroe, MI 48161-1309 | 2020-09-23 |
| 1326654666 | Family Medical Center of Michigan,inc | Clinic/Center | 550 E Main St Ste 1001, Hudson, MI 49247-9535 | 2020-09-22 |
| 1922613975 | Hackley Community Care Center Inc | Clinic/Center | 6245 Syers Rd Ste A, Holton, MI 49425-7557 | 2020-09-15 |
| 1700400389 | Northwest Michigan Health Services, Inc. | Clinic/Center | 300 W Broadway Ave Trlr 1, Scottville, MI 49454-1019 | 2020-05-30 |
| 1679195721 | Family Medical Center of Michigan,inc | Clinic/Center | 2740 Collingwood St Ste 100, Detroit, MI 48206-1473 | 2020-05-12 |
| 1235750571 | Great Lakes Bay Health Centers | Clinic/Center | 2300 Veterans Memorial Pkwy, Saginaw, MI 48601-1268 | 2020-04-28 |
| 1053948265 | Upper Great Lakes Family Health Center | Clinic/Center | 1414 W Fair Ave Ste 242, Marquette, MI 49855-5406 | 2020-03-26 |
| 1568096923 | Grace Health, Inc. | Clinic/Center | 825 Capital Ave Ne, Battle Creek, MI 49017-5605 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | CASSOPOLIS |
| Zip Code | 49031 |
Please comment or provide details below to improve the information on LAKELAND IMMEDIATE CARE CENTER.
| 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.