Organization
LAKESHORE COMMUNITY HOSPITAL, INC.
Active
Parent organization
LAKESHORE COMMUNITY HOSPITAL, INC.
Other names
Shelby Family Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HOSPITAL, INC.
Authorized official
MRS. COLLEEN JOHNSON CMPE FABC (CLINIC MANAGER)
(231) 861-2172
Entity
Organization
Contact information
Practice address
71 BEVIER ST, SHELBY, MI 49455-1239
(231) 861-2172
(231) 861-5100
Mailing address
71 BEVIER ST, SHELBY, MI 49455-1239
(231) 861-2172
(231) 861-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F41037
BCBSM
MI
Enumeration date
08/22/2011
Last updated
08/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us