LAKELAND IMMEDIATE CARE CENTER (NPI# 1760802912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760802912 |
Entity Type | Organization |
Organization Name | LAKELAND IMMEDIATE CARE CENTER |
Other Organization Name | NILES COMMUNITY HEALTH CENTER |
Practice Address |
24 N Saint Joseph Ave Suite G Niles MI 49120-2263 |
Practice Telephone | 2692624749 |
Practice Fax Number | 2692624739 |
Mailing Telephone | 2692624749 |
Mailing Fax Number | 2692624739 |
Enumeration Date | 2014-04-25 |
Last Update Date | 2014-04-25 |
Authorized Official Name | MARY 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) |
MI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Niles Community Health Center | 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 |
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 |
1982677548 | Lakeland Immediate Care Center | Family Medicine | 261 M 62, Cassopolis, MI 49031-1034 | 2006-02-13 |
Street Address |
24 N SAINT JOSEPH AVE SUITE G |
City | NILES |
State | MI |
Zip Code | 49120-2263 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952336653 | Florentino Arpon Aquino | Surgery | 24 N Saint Joseph Ave, Suite C-2, Niles, MI 49120-2263 | 2006-07-11 |
1841737277 | Dr Henderson Judy Md Family Medicine Pllc | Internal Medicine | 24 N Saint Joseph Ave, Suite C 2, Niles, MI 49120-2263 | 2017-01-24 |
1457772261 | Mike Flewelling Dds Plc | Dentist | 24 N Saint Joseph Ave, Suite E-2, Niles, MI 49120-2263 | 2013-12-20 |
1215366893 | Greater Niles Cardiology PC | Internal Medicine | 24 N Saint Joseph Ave, Suite F1, Niles, MI 49120-2263 | 2013-11-05 |
1164862181 | Michael L Flewelling | Dentist | 24 N Saint Joseph Ave, Suite E-2, Niles, MI 49120-2263 | 2013-07-05 |
1588964415 | Michelle Elizabeth Ridenour | Audiologist-Hearing Aid Fitter | 24 N Saint Joseph Ave, Suite C-1, Niles, MI 49120-2263 | 2010-10-26 |
1285805879 | Cardiovascular Diseases of Niles, P.C. | Internal Medicine | 24 N Saint Joseph Ave, Suite A, Niles, MI 49120-2263 | 2008-03-21 |
1689844144 | Tamara K Jardine | Physical Therapist | 24 N Saint Joseph Ave, Suite 'b', Niles, MI 49120-2263 | 2008-03-11 |
1609063551 | West Michigan Hearing Specialists LLC | Audiologist-Hearing Aid Fitter | 24 N Saint Joseph Ave, Suite C-1, Niles, MI 49120-2263 | 2007-09-25 |
1629277439 | Paul V Detrisac Md PC | Internal Medicine | 24 N Saint Joseph Ave, Niles, MI 49120-2263 | 2007-07-12 |
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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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447701008 | Lakeland Immediate Care Center | Clinic/Center | 122 Grant St, Niles, MI 49120-2281 | 2016-10-19 |
1891162962 | Asian Human Services Family Health Center, Inc | Clinic/Center | 8321 W Golf Rd, Niles, IL 60714-1113 | 2015-08-25 |
1972913150 | Lakeland Immediate Care Center | Clinic/Center | 60 N Saint Joseph Ave, Niles, MI 49120-2296 | 2014-04-28 |
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---|---|---|---|---|
1427658244 | Hackley Community Care Center Inc | Clinic/Center | 3113 Pontaluna Rd Ste A, Fruitport, MI 49415-9600 | 2020-10-30 |
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 |
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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.