Organization · Type 2 NPI

Lakeshore Community Hospital, Inc.

Family Medicine Physician · Hart, MI

NPI number 1174889604 Active

Practice location

611 E Main St
Hart, MI 49420-1190

Fax (231) 873-1825

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker	1041C0700X	AB033570 (MI)
Family Medicine Physician Primary	207Q00000X	RO009698 (MI)
Family Medicine Physician	207Q00000X	PW011554 (MI)
Physician Assistant	363A00000X	CU005544 (MI)
Physician Assistant	363A00000X	JT003148 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15 other providers at this address

Other family medicine physician providers in Hart

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NPI record

NPI: 1174889604
Entity type: Organization (Type 2)
Issued: Apr 10, 2012
Last updated: Apr 24, 2013
Status: Active
Subpart: Yes of Mercy Heatlh Partners Lakeshore Campus

Other names

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Hart Family Medical Center · doing business as

Authorized official

Yara Villanueva
Clinic Reimbursement Coordinator
(231) 873-5675

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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 1174889604

Lakeshore Community Hospital, Inc.'s National Provider Identifier is 1174889604, issued on Apr 10, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hart, MI. The record was last updated on Apr 24, 2013.