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Organization
LAKELAND IMMEDIATE CARE CENTER
Active
Organization
LAKELAND IMMEDIATE CARE CENTER
Active
Other names
Niles Community Health Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MARIE HOWARD (COO)
(269) 445-3874
Entity
Organization
Contact information
Practice address
1951 OAK ST, NILES, MI 49120-3738
(269) 262-4364
Mailing address
261 M 62, CASSOPOLIS, MI 49031-1034
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
10/19/2016
Last updated
09/04/2025
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