Organization
LAKELAND IMMEDIATE CARE CENTER
Active
Parent organization
LAKELAND IMMEDIATE CARE CENTER
Other names
Cass OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKELAND IMMEDIATE CARE CENTER
Authorized official
MARY MIDDLETON (EXECUTIVE DIRECTOR)
(269) 445-3874
Entity
Organization
Contact information
Practice address
60 N SAINT JOSEPH AVE, NILES, MI 49120-2296
(269) 683-0300
(269) 683-0398
Mailing address
60 N SAINT JOSEPH AVE, NILES, MI 49120-2296
(269) 683-0300
(269) 683-0398
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
02/12/2015
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