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LAKELAND IMMEDIATE CARE CENTER NPI 1447701008


NPI Information

NPI: 1447701008
Provider Name: LAKELAND IMMEDIATE CARE CENTER

Doing Business As: NILES COMMUNITY HEALTH CENTER DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
122 GRANT ST
NILES, MI
ZIP 49120
Phone: (269) 262-4364
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LAKELAND IMMEDIATE CARE CENTER is a dental clinic center in Niles, MI. LAKELAND IMMEDIATE CARE CENTER NPI is 1447701008. The provider is registered as an organization entity type.
The provider Is Doing Business As Niles Community Health Center Dental.

The provider's business location address is:

122 GRANT ST
NILES, MI
ZIP 49120-281
Phone: (269) 262-4364

The provider's authorized official is Meredith Neary .
The authorized official title is Chief Financial Officer and has the following contact phone number (269) 445-3874.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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