Organization · Type 2 NPI

Lakeland Community Hospital Watervliet

Rural Health Clinic/Center · Hartford, MI

NPI number 1023114741 Active

Practice location

525 S Center St
Hartford, MI 49057-1362

Call (269) 621-4063 Map

Fax (269) 621-9972

Mailing address

400 Medical Park Drive
Watervliet, MI 49098

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

Other rural health clinic/center providers in Hartford

Holy Family HealthcareRural Health Clinic/Center Hartford, MI NPI 1841748688

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NPI record

NPI: 1023114741
Entity type: Organization (Type 2)
Issued: Sep 16, 2006
Last updated: Apr 1, 2023
Status: Active
Subpart: Yes of Corewell Health

Other names

<unavail>
Corewell Health Watervliet Hospital Primary Care - Hartford · doing business as

Authorized official

Matthew Cox
CFO
(616) 915-3777

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023114741

Lakeland Community Hospital Watervliet's National Provider Identifier is 1023114741, issued on Sep 16, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hartford, MI. The record was last updated on Apr 1, 2023.