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LAKELAND IMMEDIATE CARE CENTER NPI 1982677548


NPI Information

NPI: 1982677548
Provider Name: LAKELAND IMMEDIATE CARE CENTER

Doing Business As: CASSOPOLIS FAMILY CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
261 M 62
CASSOPOLIS, MI
ZIP 49031
Phone: (269) 445-3874
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LAKELAND IMMEDIATE CARE CENTER is a federally qualified health center (fqhc) clinic center in Cassopolis, MI. LAKELAND IMMEDIATE CARE CENTER NPI is 1982677548. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Cassopolis Family Clinic.

The provider's business location address is:

261 M 62
CASSOPOLIS, MI
ZIP 49031-034
Phone: (269) 445-3874
Fax: (269) 445-2076

The provider's authorized official is Mary Geegan Middleton .
The authorized official title is Executive Director and has the following contact phone number (269) 445-3874.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 2/11/2015.


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
1207Q00000XFamily MedicineNo
2251J00000XNursing CareNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1A46198004MEDICARE PINMICHIGAN
22890350MEDICAIDMICHIGAN
3231906MEDICARE OSCAR/CERTIFICATIONMICHIGAN
4OA46198MEDICARE PIN
5080A46198OTHERMONTANABCBS

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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