NPIMap

Organization Active NPI

Lakeland Immediate Care Center

  • Federally Qualified Health Center (FQHC)
  • Niles, MI
National Provider Identifier
1972913150
Registry record updated Feb 12, 2015
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
Practice address
60 N Saint Joseph Ave
Niles, MI 49120-2296
Phone
(269) 683-0300
Fax
(269) 683-0398
NPI assigned
Apr 28, 2014
Organization subpart
Yes
Parent organization
LAKELAND IMMEDIATE CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mary Middleton
Title
Executive Director
Phone
(269) 445-3874

Specialties & licenses 1

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

Addresses

Primary practice location

60 N Saint Joseph Ave
Niles, MI 49120-2296

Mailing address

60 N Saint Joseph Ave
Niles, MI 49120-2296
Phone (269) 683-0300

Other names 1

  • Cass OB/GYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeland Immediate Care7 organizations share this tax ID, including this one
Part of
Lakeland Immediate Care

Other organizations with this tax ID 6

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1972913150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202296",
            "telephone_number": "269-683-0300",
            "fax_number": "269-683-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N SAINT JOSEPH AVE",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202296",
            "telephone_number": "269-683-0300",
            "fax_number": "269-683-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND IMMEDIATE CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKELAND IMMEDIATE CARE CENTER",
        "enumeration_date": "2014-04-28",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "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 OB/GYN",
            "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 Feb 12, 2015; 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.