# LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396691291
- **Authorized official:** MATTHEW E COX (CFO)
- **Authorized official phone:** (616) 486-6790

## Contact information

- **Practice address:** 3900 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
- **Practice address phone:** (269) 932-9337
- **Mailing address:** 100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/05/2026
- **Last updated:** 03/05/2026
