Organization
LAKELAND HOSPITAL AT NILES AND ST JOSEPH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM CALHOUN (VP FINANCE/CFO)
(269) 983-8300
Entity
Organization
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8300
Mailing address
PO BOX 410, SAINT JOSEPH, MI 49085-0410
(269) 428-2574
(269) 428-0490
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
110050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2779071
—
MI
Enumeration date
09/20/2006
Last updated
05/17/2019
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