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General NPI Number Information
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NPI Number | 1588199434
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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 | 04/28/2017
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 61 N SAINT JOSEPH AVE
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City | NILES
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State | MI
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Zip | 49120-2207
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Country | US
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Telephone | 269-684-6777
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Fax | 269-683-5384
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Provider Business Mailing Address
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Address Line | 61 N SAINT JOSEPH AVE
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City | NILES
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State | MI
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Zip | 49120-2207
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Country | US
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Telephone | 269-684-6777
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Fax | 269-683-5384
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Authorized Official
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Title or Position | VP FINANCE/CFO
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Name | TIMOTHY CALHOUN
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Credential |
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Telephone | 269-983-8300
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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 | 5101009955
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License Number State | MI
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