NPIMap

Organization Active NPI

Lakeland Immediate Care Center

Doing business as Cass Family Clinic-Dowagiac

  • Federally Qualified Health Center (FQHC)
  • Dowagiac, MI
National Provider Identifier
1881492338
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LAKELAND IMMEDIATE CARE CENTER
Doing business as
Cass Family Clinic-Dowagiac
Practice address
57392 M 51 S
Dowagiac, MI 49047-9766
Phone
(269) 462-9587
NPI assigned
Mar 3, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKELAND IMMEDIATE CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Tammy Marie Howard
Title
Chief Operations Officer
Phone
(269) 445-3874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

57392 M 51 S
Dowagiac, MI 49047-9766

Mailing address

261 M 62
Cassopolis, MI 49031-1034
Phone (269) 445-3874

Other names 1

  • Cass Family Clinic-Dowagiac Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250801002361 MI Part A Provider - Federally Qualified Health Center (FQHC) 2264423771 Practice locations: Dowagiac, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881492338. Details of each certification follow.

Federally qualified health center certification: CCN C71045

Legal name
LAKELAND IMMEDIATE CARE CENTER
Doing business as
CASS FAMILY CLINIC-DOWAGIAC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 4, 2025
Last certification
Sep 4, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
57392 M 51 S
Dowagiac, MI 49047-9766

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Immediate Center7 organizations share this tax ID, including this one
Part of
Lakeland Immediate Center

Other organizations with this tax ID 6

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

Locations

261 M 62
Cassopolis, MI 49031
Phone (269) 445-3874

60 N Saint Joseph Ave
Ste B2
Niles, MI 49120
Phone (269) 683-0300

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tammy M Howard Individual W-2 Managing EmployeeAd; Jan 3, 1993
Patricia Patano Individual Other Jan 1, 2020
Marcella Taylor Individual Other Jan 1, 2020
Tracy D Hertsel Individual Other Jan 1, 2006
Adrienne Glover Individual Other Jan 1, 2003
Neil R See Individual Other Jan 1, 2020
Joseph Gavan Individual Corporate OfficerCeo Mar 18, 2024 100%
Corporate Director Mar 18, 2024 100%
Operational/Managerial Control Mar 18, 2024 100%
Dolores McNeary Individual Other Jan 1, 2014
George Brossman Individual Other Jan 1, 2006
Joyce Bailey Individual OtherBoard Member Jan 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Niles Community Health CenterNiles, MI, CCN 231023 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 24, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1881492338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 M 62",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311034",
            "telephone_number": "269-445-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57392 M 51 S",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479766",
            "telephone_number": "269-462-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND IMMEDIATE CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKELAND IMMEDIATE CARE CENTER",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "269-445-3874"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass Family Clinic-Dowagiac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dowagiac, MI

Sources for this page

Verify at the official NPI Registry.