Organization
LAKELAND IMMEDIATE CARE CENTER
Active
Parent organization
LAKELAND IMMEDIATE CARE CENTER
Other names
Cassopolis Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKELAND IMMEDIATE CARE CENTER
Authorized official
TAMMY MARIE HOWARD (COO)
(269) 445-3874
Entity
Organization
Contact information
Practice address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 445-3874
(269) 445-2076
Mailing address
261 M 62, CASSOPOLIS, MI 49031-1034
(269) 445-3874
(269) 445-2076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251J00000X
Nursing Care Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080A46198
BCBS
MT
05
—
2890350
—
MI
Enumeration date
02/13/2006
Last updated
09/04/2025
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