LAKELAND HOSPITALS AT NILES AND ST JOSEPH INC NPI 1487751277

NPI Information

NPI: 1487751277
Provider Name: LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D0692909

Address:
8 LONG MEADOW VILLAGE DR
NILES, MI
ZIP 49120
Phone: (269) 428-7481
Get Directions

LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC is an end-stage renal disease (esrd) treatment clinic center in Niles, MI. LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC NPI is 1487751277. The provider is registered as an organization entity type.

The provider's business location address is:

8 LONG MEADOW VILLAGE DR
NILES, MI
ZIP 49120-808
Phone: (269) 428-7481
Fax: (269) 428-7477

The provider's authorized official is Tim Calhoun .
The authorized official title is Vp Finance/cfo and has the following contact phone number (269) 983-8300.

The CLIA number assigned to this NPI record is 23D0692909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	110050	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00219	OTHER		BLUE CROSS
2	5236141	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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