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General NPI Number Information
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NPI Number | 1184513731
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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 | 06/30/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 3900 HOLLYWOOD RD
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9149
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Country | US
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Telephone | 269-556-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 HOLLYWOOD RD
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9149
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Country | US
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Telephone | 269-556-7171
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MATTHEW E 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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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