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Organization

LAKELAND SPECIALTY HOSPITAL AT BERRIEN CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIM CALHOUN (CFO/VP OF FINANCE)
(269) 983-8398
Entity
Organization

Contact information

Practice address
6418 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 473-3003
(269) 473-3010
Mailing address
PO BOX 800, SAINT JOSEPH, MI 49085-0800
(269) 428-2574
(269) 428-0490

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
110080
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00323
BLUE CROSS
05
4172246
MI
05
4172264
MI
Enumeration date
07/07/2006
Last updated
06/03/2008
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