Lakeland Hospitals at Niles and St Joseph, Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

110050 Issued in MI

Legal business name

LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC

Practice address

8 Long Meadow Village Dr
Niles, MI 49120-7808

Phone

(269) 428-7481

Fax

(269) 428-7477

NPI assigned

Sep 20, 2006

Last updated

Apr 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tim Calhoun

Title

VP Finance/Cfo

Phone

(269) 983-8300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1487751277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490850410",
            "telephone_number": "269-428-2574",
            "fax_number": "269-428-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LONG MEADOW VILLAGE DR",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207808",
            "telephone_number": "269-428-7481",
            "fax_number": "269-428-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "269-983-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MI",
            "license": "110050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5236141",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Ryan Kutzner, MD
• Kyle McGill DDS PC
• Lakeland Community Hospital Watervliet (Corewell Health Watervliet Hospital Southwestern Medical Multispecial)
• Lakeland Family Care of Niles
• Lakeland General Surgery
• Lakeland Hospitals at Niles and St Joseph, Inc (Lakeland Cardiology, Niles)
• Lakeland Housecalls
• Lakeland Immediate Care Center (Niles Community Health Center Pharmacy)
• Lakeland Immediate Care Center (Niles Community Health Center Dental)
• Lakeland Immediate Care Center (Niles Community Health Center)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Niles, MI
• Providers in Niles, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.