# LAKELAND COMMUNITY HOSPITAL WATERVLIET

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COREWELL HEALTH
- **Other names:** Corewell Health Watervliet Hospital Southwestern Medical Multispecial
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538592753
- **Legal business name:** COREWELL HEALTH
- **Authorized official:** MATTHEW COX (CFO)
- **Authorized official phone:** (616) 391-0780

## Contact information

- **Practice address:** 2002 S 11TH ST, NILES, MI 49120-4074
- **Practice address phone:** (269) 687-0200
- **Practice address fax:** (269) 684-0199
- **Mailing address:** 400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
- **Mailing address phone:** (269) 983-8300
- **Mailing address fax:** (269) 463-5351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 04/12/2023