# LAKESHORE COMMUNITY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKESHORE COMMUNITY HOSPITAL INC
- **Other names:** Lakeshore Medical Center RHC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336385996
- **Legal business name:** LAKESHORE COMMUNITY HOSPITAL INC
- **Authorized official:** MRS. COLLEEN BETH JOHNSON CMPE, FABC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (231) 728-5910

## Contact information

- **Practice address:** 905 E COLBY ST, WHITEHALL, MI 49461-1262
- **Practice address phone:** (231) 728-5910
- **Practice address fax:** (231) 728-5918
- **Mailing address:** 905 E COLBY ST, WHITEHALL, MI 49461-1262
- **Mailing address phone:** (231) 728-5910
- **Mailing address fax:** (231) 728-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2008
- **Last updated:** 02/25/2014