Organization
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Active
Other names
Corewell Health Lakeland Hospitals St. Joseph Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 391-1663
Entity
Organization
Contact information
Practice address
2550 MEADOWBROOK RD, SUITE 110, BENTON HARBOR, MI 49022-9609
(269) 985-4400
(269) 985-4446
Mailing address
PO BOX 813, SAINT JOSEPH, MI 49085-0813
(269) 985-4400
(269) 985-4446
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E034
BLUE CROSS
—
05
—
1879027
—
MI
Enumeration date
10/06/2006
Last updated
08/16/2023
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