LAKELAND IMMEDIATE CARE CENTER (NPI# 1447701008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447701008 |
| Entity Type | Organization |
| Organization Name | LAKELAND IMMEDIATE CARE CENTER |
| Other Organization Name | NILES COMMUNITY HEALTH CENTER DENTAL |
| Practice Address |
122 Grant St Niles MI 49120-2281 |
| Mailing Address |
261 M 62 Cassopolis MI 49031-1034 |
| Practice Telephone | 2692624364 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | MEREDITH NEARY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2694453874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Niles Community Health Center Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407266687 | Lakeland Immediate Care Center | Clinic/Center | 22721 Diamond Cove St, Cassopolis, MI 49031-9711 | 2014-04-28 |
| 1144866310 | Lakeland Immediate Care Center | Pharmacy | 1951 Oak St, Niles, MI 49120-3738 | 2019-11-22 |
| 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 |
122 GRANT ST |
| City | NILES |
| State | MI |
| Zip Code | 49120-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407810047 | Sirimas Sirisuth | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-04-12 |
| 1649743535 | Amanda Marie Haines | Dental Hygienist | 122 Grant St, Niles, MI 49120-2281 | 2019-01-03 |
| 1629497631 | Maritza Iamalette Salvo-ale | Dentist | 122 Grant St, Niles, MI 49120-2281 | 2014-04-08 |
| 1699086744 | Lakeland Housecalls | General Practice | 122 Grant St, Niles, MI 49120-2281 | 2010-06-23 |
| 1871777227 | Four Flags Health Ventures,inc | Health Maintenance Organization | 122 Grant St, Niles, MI 49120-2281 | 2007-12-20 |
| 1922142561 | Joy Shen Ling | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2007-02-16 |
| 1417981549 | Barbara J Boyd | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-07-11 |
| 1568407930 | Niles Professional Services, Inc | Internal Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-06-18 |
| 1619933546 | Lakeland Nuclear Imaging, Inc. | Nuclear Medicine | 122 Grant St, Niles, MI 49120-2281 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285652 | The Caerus Group LLC | Clinic/Center | 732 S. 11th St #197, Niles, MI 49120 | 2018-11-27 |
| 1306316971 | Vicki L Yarbro | Physical Therapist | 6 Longmeadow Village Dr. Suite 3, Niles, MI 49120 | 2018-11-27 |
| 1063831469 | Aaron Joseph Lanning | Nurse Practitioner | 42 N Saint Joseph Ave Ste 300, Niles, MI 49120 | 2014-04-14 |
| 1740601186 | Terrianne Klaeren | Occupational Therapist | 1009 Almaugus Drive, Niles, MI 49120 | 2014-01-03 |
| 1124469366 | All Needs Senior Services, Inc. | Home Health | 1723 Pucker Street Dr, Suite A, Niles, MI 49120 | 2013-07-16 |
| 1902105034 | Nile Family Pharmacy LLC | Pharmacy | 70 E. State St., Niles, MI 49120 | 2011-03-15 |
| 1629240734 | Karen L Palmer | Counselor | 115 S St Joseph Ave, Niles, MI 49120 | 2008-03-28 |
| 1124218391 | Melissa A Longley | Social Worker | 333 N. Second Street, Suite 303, Niles, MI 49120 | 2007-07-25 |
| 1841410727 | Periza Zaninovic | Dentist | 123 Marmont Street, Niles, MI 49120 | 2007-04-26 |
| 1477629087 | Stephen Williams Tankersley | Dentist | 226 S Lincoln Ave, Niles, MI 49120 | 2006-11-27 |
| Find all providers in zip 49120 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663737 | Shaivalkumar Patel Dds P.c | Clinic/Center | 9052 W Golf Rd, Niles, IL 60714-5805 | 2019-11-07 |
| 1518207893 | Ronaldo Macam,dmd,pc | Clinic/Center | 8872 N Milwaukee Ave, Niles, IL 60714-1752 | 2013-02-22 |
| 1689849291 | Seung Eun Baik, D.d.s., P.C. | Clinic/Center | 9101 N Greenwood Ave, Suite #202, Niles, IL 60714-1499 | 2008-04-24 |
| 1619191178 | Richard L. Beckermeyer, D. D. S., P.C. | Clinic/Center | 123 Marmont St, Niles, MI 49120-1657 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821216 | Inspired Family Dental Care | Clinic/Center | 1685 Fairholme Rd, Grosse Pointe Woods, MI 48236-2368 | 2020-11-05 |
| 1376144261 | Right Choice Dental, PC | Clinic/Center | 475 Columbia Ave E Ste 5, Battle Creek, MI 49014-5461 | 2020-11-05 |
| 1669073813 | Thomas M Smith, Dds, Plc | Clinic/Center | 755 Seminole Rd Ste 103, Norton Shores, MI 49441-6561 | 2020-11-04 |
| 1235739533 | Randy J Breen Dds Pllc | Clinic/Center | 2460 Burton St Se Ste 201, Grand Rapids, MI 49546-4800 | 2020-10-27 |
| 1831798370 | Saline Dental Care, Pllc | Clinic/Center | 150 Judd Rd, Milan, MI 48160-9584 | 2020-10-24 |
| 1235738113 | David Sorial Dds PC | Clinic/Center | 14755 Northline Rd, Southgate, MI 48195-2407 | 2020-10-21 |
| 1598363970 | Steven M Moss Dds PC | Clinic/Center | 37625 Ann Arbor Rd Ste 108, Livonia, MI 48150-2400 | 2020-10-16 |
| 1700484375 | Troy Cosmetic and Implant Dental Center Pllc | Clinic/Center | 4770 Rochester Rd Ste 106, Troy, MI 48085-4951 | 2020-10-15 |
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1245837806 | Kendall J Lee Dds Pllc | Clinic/Center | 111 S Howell St, Hillsdale, MI 49242-1873 | 2020-10-07 |
| 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.