Organization
LAKELAND IMMEDIATE CARE CENTER
Active
Other names
Niles Community Health Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MARIE HOWARD (COO)
(269) 445-3874
Entity
Organization
Contact information
Practice address
1951 OAK ST, NILES, MI 49120-3738
(269) 262-4364
Mailing address
261 M 62, CASSOPOLIS, MI 49031-1034
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
10/19/2016
Last updated
09/04/2025
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