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NPI Code Detail

MEDICARE: LAKELAND IMMEDIATE CARE CENTER

MEDICARE: LAKELAND IMMEDIATE CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2251J00000XNursing Care Agency
3261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080A46198OTHERMTBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982677548
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKELAND IMMEDIATE CARE CENTER
Provider Business Mailing Address
First Line : 261 M 62
Second Line :
City : CASSOPOLIS
State : MI
Zip : 49031-1034
Country : US
Telephone Number : 269-445-3874
Fax Number : 269-445-2076
Provider Business Practice Location Address
First Line : 261 M 62
Second Line :
City : CASSOPOLIS
State : MI
Zip : 49031-1034
Country : US
Telephone Number : 269-445-3874
Fax Number : 269-445-2076
Authorized Official
Title or Position : COO
Name : TAMMY MARIE HOWARD
Credential :
Telephone Number : 269-445-3874
Provider Enumeration Date : 02/13/2006
Last Update Date : 09/04/2025

Similar Medicare Providers

1831171768 — ANN E TRAYNOR M.D.
Practice Location Address:
261 M 62
CASSOPOLIS, MI
49031-1034
Practice Phone: 269-445-3874
Practice Fax:
1154394724 — DR. NEIL R SEE M.D.
Practice Location Address:
261 M 62
CASSOPOLIS, MI
49031-1034
Practice Phone: 269-445-3874
Practice Fax: 269-445-2076
1689625469 — DR. STEVE KUJACZNSKI D.O.
Practice Location Address:
261 M 62
CASSOPOLIS, MI
49031-1034
Practice Phone: 269-445-3874
Practice Fax: 269-445-2076
1881634566 — ELIZABETH A WETZEL DO
Practice Location Address:
261 M 62
CASSOPOLIS, MI
49031-1034
Practice Phone: 269-445-3874
Practice Fax: 269-445-1930
1336358159 — VAN BUREN CASS DISTRICT PUBLIC HEALTH DEPARTMENT
Practice Location Address:
201 M 62
CASSOPOLIS, MI
49031-1034
Practice Phone: 269-445-5280
Practice Fax: 269-445-5278
1689872913 — MITCHELL B. HANNAFIUS LMSW
Practice Location Address:
261 M 62
CASSOPOLIS, MI
49031-1034
Practice Phone: 269-445-3874
Practice Fax: 269-445-2076

Directions to “LAKELAND IMMEDIATE CARE CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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