Lakeland Community Hospital Watervliet

Organization Active NPI Internal Medicine Physician · Dowagiac, MI

NPI 1780445916 · NPPES record last updated Jan 16, 2024

Key facts

NPI
1780445916
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
LAKELAND COMMUNITY HOSPITAL WATERVLIET
Practice address
520 Main St
Dowagiac, MI 49047-1762
Phone
(616) 486-6790
NPI assigned
Jan 16, 2024
Organization subpart
No

Authorized official

Name
Matthew E Cox
Title
Cfo
Phone
(616) 437-2146

Corporate family (same tax ID) 11

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

National Provider Directory

Tax ID family
Boothby John Fcrna (12 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

520 Main St
Dowagiac, MI 49047-1762

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Other names

  • Corewell Health Watervliet Hospital Doing business as

Other providers in Dowagiac, MI

All providers in Dowagiac, MI · Internal Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.