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Organization

LAKELAND COMMUNITY HOSPITAL WATERVLIET

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 295-4264
Entity
Organization

Contact information

Practice address
9045 US HIGHWAY 31, BERRIEN SPRINGS, MI 49103-1804
(602) 694-7322
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/14/2025
Last updated
02/11/2026
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