Organization
LAKELAND COMMUNITY HOSPITAL WATERVLIET
Active
Parent organization
COREWELL HEALTH
Other names
Corewell Health Watervliet Hospital, Watervliet Professional Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COREWELL HEALTH
Authorized official
MATTHEW COX (CFO)
(616) 915-3777
Entity
Organization
Contact information
Practice address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 983-8300
(269) 982-4855
Mailing address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 983-8300
(269) 982-4855
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00184
BCBSM
MI
05
—
30 1556886
—
MI
05
—
40 5170415
—
MI
Enumeration date
08/28/2006
Last updated
12/17/2023
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