Organization
LAKELAND COMMUNITY HOSPITAL WATERVLIET
Active
Parent organization
COREWELL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COREWELL HEALTH
Authorized official
MATTHEW COX (CFO)
(616) 915-3777
Entity
Organization
Contact information
Practice address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 463-3111
(269) 463-2237
Mailing address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 983-8300
(269) 463-5351
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00184
BCBSM
MI
05
—
30 2885397
—
MI
Enumeration date
03/16/2007
Last updated
04/26/2023
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