LAKESHORE COMMUNITY HOSPITAL, INC. (NPI# 1619128873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619128873 |
Entity Type | Organization |
Organization Name | LAKESHORE COMMUNITY HOSPITAL, INC. |
Other Organization Name | LAKESHORE MEDICAL CENTER WHITEHALL |
Practice Address |
905 E Colby St Whitehall MI 49461-1262 |
Mailing Address |
905 E Colby St Po Box 189 Whitehall MI 49461-1262 |
Practice Telephone | 2317285910 |
Practice Fax Number | 2317285918 |
Mailing Telephone | 2317285910 |
Mailing Fax Number | 2317285918 |
Enumeration Date | 2008-10-07 |
Last Update Date | 2014-04-25 |
Authorized Official Name | MRS. COLLEEN JOHNSON (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 2317285910 |
Authorized Official Credential | CMPE, FABC |
Is Organization Subpart | Y |
Parent Organization Name | LAKESHORE COMMUNITY HOSPITAL, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Lakeshore Medical Center Whitehall | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174889604 | Lakeshore Community Hospital, Inc. | Social Worker | 611 E Main St, Hart, MI 49420-1190 | 2012-04-10 |
1467732537 | Lakeshore Community Hospital, Inc. | Family Medicine | 71 Bevier St, Shelby, MI 49455-1239 | 2011-08-22 |
1336385996 | Lakeshore Community Hospital, Inc. | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-31 |
1629214739 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-18 |
1982855144 | Lakeshore Community Hospital, Inc. | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2008-10-07 |
Street Address |
905 E COLBY ST |
City | WHITEHALL |
State | MI |
Zip Code | 49461-1262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912908997 | Jennifer J. Koetje | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2005-08-02 |
1801208087 | Mercy Health Partners | Surgery | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-05-22 |
1861818379 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-03-07 |
1326463357 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-02-27 |
1932403037 | Desiree Lee Elliot | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2011-01-04 |
1336385996 | Lakeshore Community Hospital, Inc. | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-31 |
1629214739 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-18 |
1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
1346455888 | Hpcn | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2007-05-10 |
1578602520 | Hackley Professional Pharmacy | Pharmacy | 905 E Colby St, Whitehall, MI 49461-1262 | 2007-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
1649388000 | Pitkin Rexall Drug Company | Pharmacy | 101 W Colby St, Whitehall, MI 49461-1014 | 2006-08-27 |
1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
1619344363 | Christie Phillips | Pharmacy Technician | 101 W Colby St, Whitehall, MI 49461-1014 | 2015-08-28 |
Find all providers in zip 49461 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326463357 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-02-27 |
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1609828151 | Gundersen Clinic, Ltd. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2006-05-16 |
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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.