Lakeshore Community Hospital, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

LAKESHORE COMMUNITY HOSPITAL, INC.

Doing business as

Lakeshore Medical Center Shelby

Practice address

71 Bevier St
Shelby, MI 49455-1209

Phone

(231) 861-2187

Fax

(231) 861-5100

NPI assigned

Oct 7, 2008

Last updated

Apr 25, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKESHORE COMMUNITY HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Mrs. Colleen Johnson, CMPE, FABC

Title

Practice Administrator

Phone

(231) 728-5910

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Medical Center Shelby Doing business as

Part of

Lakeshore Community Hos

Locations

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.

• Lakeshore Community Hospital Inc.

  dba Lakeshore Medical Center Whitehall

  • Clinic/Center
  • Whitehall, MI
  • NPI 1912922717
  NPPES parent name

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1982855144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BEVIER ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551209",
            "telephone_number": "231-861-2187",
            "fax_number": "231-861-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BEVIER ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551209",
            "telephone_number": "231-861-2187",
            "fax_number": "231-861-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKESHORE COMMUNITY HOSPITAL, INC.",
        "enumeration_date": "2008-10-07",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-728-5910",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMPE, FABC"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Medical Center Shelby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duane A Kelley, NP
• Kevin Robert Kellogg, MD
• Lakeshore Community Hospital Inc (Lakeshore Medical Center Shelby)
• Lakeshore Community Hospital, Inc (Shelby Family Care)
• Lakeshore Community Hospital, Inc. (Shelby Family Care)
• Lakeshore Emergency Solutions, PLLC
• Shannon Marie Larson, R.D.H.
• Steven Richard Lessens, M.D.
• Carol L Mast, MSW, CSW
• Mercy Health Partners (Trinity Health Medical Group)

• Rural Health Clinic/Center in Shelby, MI
• Providers in Shelby, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.