LAKELAND IMMEDIATE CARE CENTER


Address: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120-2263
Phone: 2692624749

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Niles Community Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 24 N SAINT JOSEPH AVE
SUITE G
City NILES
State MI
Zip Code 49120-2263

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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Competitor

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City NILES
Zip Code 49120

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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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