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Organization

FOUR FLAGS HEALTH VENTURES,INC

Active
Parent organization
LAKELAND REGIONAL HEALTH SYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKELAND REGIONAL HEALTH SYSTEM
Authorized official
DENNIS MACK (V.P.OPERATIONS & FACILITY MANAGEMEN)
(269) 938-8399
Entity
Organization

Contact information

Practice address
122 GRANT ST, NILES, MI 49120-2281
(269) 684-0259
(269) 684-0189
Mailing address
122 GRANT ST, NILES, MI 49120-2281
(269) 684-0259
(269) 684-0189

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
12/20/2007
Last updated
12/20/2007
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