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General NPI Number Information
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NPI Number | 1134220031
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Entity Type | Organization
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Legal Business Name | LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 1234 NAPIER AVE
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-2112
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Country | US
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Telephone | 269-983-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MICHIGAN ST NE # MC845
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone | 164-866-7906
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. MATTHEW COX
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Credential |
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Telephone | 616-295-4264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 110050
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License Number State | MI
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