NPIMap

Organization Active NPI

Lakeland Medical Practices

Doing business as Women's Health Center at SWMC

  • Clinic/Center
  • Niles, MI
National Provider Identifier
1972821460
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAKELAND MEDICAL PRACTICES
Doing business as
Women's Health Center at SWMC
Practice address
42 N. St. Joseph Ave.
Suite 201
Niles, MI 49120-2208
Phone
(269) 687-0808
Fax
(269) 687-0811
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Janice Crocker
Title
Director
Phone
(269) 687-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

42 N. St. Joseph Ave.
Suite 201
Niles, MI 49120-2208

Mailing address

6416 Deans Hill Road
Berrien Center, MI 49102-9750
Phone (269) 471-7741

Other names 1

  • Women's Health Center at SWMC Doing business as

National Provider Directory

National Provider Directory

Locations

42 N Saint Joseph Ave
Ste 201
Niles, MI 49120
Phone (269) 429-5007

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1972821460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 DEANS HILL ROAD",
            "city": "BERRIEN CENTER",
            "state": "MI",
            "postal_code": "491029750",
            "telephone_number": "269-471-7741",
            "fax_number": "269-471-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N. ST. JOSEPH AVE.",
            "address_2": "SUITE 201",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202208",
            "telephone_number": "269-687-0808",
            "fax_number": "269-687-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND MEDICAL PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "269-687-1152"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Center at SWMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.