# FOUR FLAGS HEALTH VENTURES,INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKELAND REGIONAL HEALTH SYSTEM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871777227
- **Legal business name:** LAKELAND REGIONAL HEALTH SYSTEM
- **Authorized official:** DENNIS MACK (V.P.OPERATIONS & FACILITY MANAGEMEN)
- **Authorized official phone:** (269) 938-8399

## Contact information

- **Practice address:** 122 GRANT ST, NILES, MI 49120-2281
- **Practice address phone:** (269) 684-0259
- **Practice address fax:** (269) 684-0189
- **Mailing address:** 122 GRANT ST, NILES, MI 49120-2281
- **Mailing address phone:** (269) 684-0259
- **Mailing address fax:** (269) 684-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 12/20/2007