Organization Active NPI

Lakeland Hospitals at Niles and St Joseph, Inc

  • Pulmonary Disease Physician
  • Benton Harbor, MI
National Provider Identifier
1720766181
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Practice address
100 W Main St
Benton Harbor, MI 49022-3606
Phone
(269) 408-2258
NPI assigned
Jul 6, 2023
Organization subpart
Yes
Parent organization
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Heather Lallo
Title
VP Finance
Phone
(616) 391-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

100 W Main St
Benton Harbor, MI 49022-3606

Mailing address

100 Michigan NE St Mc845
Grand Rapids, MI 49503
Phone (616) 486-6790

Other names 1

  • Center for Better Health Doing business as

National Provider Directory

National Provider Directory
Part of
Lakeland Hospitals at Niles and St Joseph Inc

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1720766181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN NE ST MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223606",
            "telephone_number": "269-408-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "LALLO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "616-391-2022"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Better Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.