NPIMap

Organization Active NPI

Lakeland Medical Practices

Doing business as Family Care of Coloma Watervliet

  • Clinic/Center
  • Coloma, MI
National Provider Identifier
1083932453
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAKELAND MEDICAL PRACTICES
Doing business as
Family Care of Coloma Watervliet
Practice address
6559 Paw Paw Ave
Coloma, MI 49038-8805
Phone
(269) 468-4100
Fax
(269) 468-3334
NPI assigned
May 11, 2010
Last updated
May 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janice Crocker
Title
Director
Phone
(269) 687-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

6559 Paw Paw Ave
Coloma, MI 49038-8805

Mailing address

6559 Paw Paw Ave
Coloma, MI 49038-8805
Phone (269) 468-4100

Other names 1

  • Family Care of Coloma Watervliet Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Medical Practices49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1083932453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 PAW PAW AVE",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388805",
            "telephone_number": "269-468-4100",
            "fax_number": "269-468-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 PAW PAW AVE",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388805",
            "telephone_number": "269-468-4100",
            "fax_number": "269-468-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-687-1152"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care of Coloma Watervliet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coloma, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.