Organization
LAKESHORE COMMUNITY HOSPITAL, INC.
Active
Parent organization
LAKESHORE COMMUNITY HOSPITAL INC
Other names
Lakeshore Medical Center RHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HOSPITAL INC
Authorized official
MRS. COLLEEN BETH JOHNSON CMPE, FABC (PRACTICE ADMINISTRATOR)
(231) 728-5910
Entity
Organization
Contact information
Practice address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 728-5910
(231) 728-5918
Mailing address
905 E COLBY ST, WHITEHALL, MI 49461-1262
(231) 728-5910
(231) 728-5918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2008
Last updated
02/25/2014
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