NPIMap

Organization Active NPI

Lakeshore Community Hospital, Inc.

  • Rural Health Clinic/Center
  • Whitehall, MI
National Provider Identifier
1336385996
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LAKESHORE COMMUNITY HOSPITAL, INC.
Practice address
905 E Colby St
Whitehall, MI 49461-1262
Phone
(231) 728-5910
Fax
(231) 728-5918
NPI assigned
Dec 31, 2008
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKESHORE COMMUNITY HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mrs. Colleen Beth Johnson, CMPE, FABC
Title
Practice Administrator
Phone
(231) 728-5910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

905 E Colby St
Whitehall, MI 49461-1262

Mailing address

905 E Colby St
Whitehall, MI 49461-1262
Phone (231) 728-5910

Other names 1

  • Lakeshore Medical Center RHC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Community Hos6 organizations share this tax ID, including this one
Part of
Mercy Health Partners

Other organizations with this tax ID 5

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

Locations

905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1336385996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611262",
            "telephone_number": "231-728-5910",
            "fax_number": "231-728-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E COLBY ST",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611262",
            "telephone_number": "231-728-5910",
            "fax_number": "231-728-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKESHORE COMMUNITY HOSPITAL INC",
        "enumeration_date": "2008-12-31",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-728-5910",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE, FABC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Medical Center RHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Whitehall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.