Organization
LAKESHORE COMMUNITY HOSPITAL, INC.
Active
Parent organization
LAKESHORE COMMUNITY HOSPITAL, INC.
Other names
Lakeshore Medical Center Shelby
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HOSPITAL, INC.
Authorized official
MRS. COLLEEN JOHNSON CMPE, FABC (PRACTICE ADMINISTRATOR)
(231) 728-5910
Entity
Organization
Contact information
Practice address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Mailing address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
04/25/2014
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