NPIMap

Organization Active NPI

Lakeland Hospitals at Niles and St Joseph, Inc

Doing business as Corewell Health Lakeland Hospitals (MDPP)

  • Community Health Clinic/Center
  • Saint Joseph, MI
National Provider Identifier
1184513731
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Doing business as
Corewell Health Lakeland Hospitals (MDPP)
Practice address
3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone
(269) 556-7171
NPI assigned
Jun 30, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Matthew E Cox
Title
Chief Financial Officer
Phone
(616) 295-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

3900 Hollywood Rd
Saint Joseph, MI 49085-9149

Mailing address

3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (269) 556-7171

Other names 1

  • Corewell Health Lakeland Hospitals (MDPP) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250402002322 MI MDPP Supplier - in-Person MDPP Supplier 7517929037 1 other NPI on this enrollment
Practice locations: Saint Joseph, MI; Niles, MI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mercy Memorial Med Cent13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

  • LDBH LLC

    dba Liberty Dialysis at Lakeland Benton Harbor

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Benton Harbor, MI
    • NPI 1407150279

    Member Of

    NPD member
  • LDBH, LLC

    dba Liberty Dialysis at Lakeland Watervliet

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Watervliet, MI
    • NPI 1629372628

    Member Of

    NPD member
  • Liberty Dialysis - Lakeland LLC

    dba Liberty Dialysis at Lakeland Royalton

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Saint Joseph, MI
    • NPI 1013231620

    Member Of

    NPD member
  • Liberty Dialysis - Lakeland LLC

    dba Liberty Dialysis at Lakeland Niles

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Niles, MI
    • NPI 1760706378

    Member Of

    NPD member

Locations

100 W Main St
Benton Harbor, MI 49022
Phone (269) 408-2258

2550 Meadowbrook Rd
Ste 106
Benton Harbor, MI 49022
Phone (269) 985-4422

2 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 369-5492

6 Longmeadow Village Dr
Ste 1
Niles, MI 49120
Phone (269) 684-3028

6 Longmeadow Village Dr
Ste 3
Niles, MI 49120
Phone (269) 687-0945

60 N Saint Joseph Ave
Ste 110
Niles, MI 49120
Phone (269) 687-1419

905 N Front St
Niles, MI 49120
Phone (269) 683-6800

211 Hilltop Rd
Ste T
Saint Joseph, MI 49085
Phone (269) 985-4400

3772 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-7474

3774 Hollywood Rd
Saint Joseph, MI 49085
Phone (269) 428-2779

3950 Hollywood Rd
Ste 140
Saint Joseph, MI 49085
Phone (269) 556-7150

3950 Hollywood Rd
Ste 218
Saint Joseph, MI 49085
Phone (269) 556-7120

400 Medical Park Dr
Fl 3
Watervliet, MI 49098
Phone (269) 932-8406

Practitioners & affiliated clinicians

Practitioners 313

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 313

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1184513731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-556-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859149",
            "telephone_number": "269-556-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-295-4264"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corewell Health Lakeland Hospitals (MDPP)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corewell Health Lakeland Hospitals (MDPP)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.