Organization · Type 2 NPI

Lakeland Community Hospital Watervliet

Clinic/Center · Coloma, MI

NPI number 1558057935 Active

Practice location

6559 Paw Paw Ave
Coloma, MI 49038-8805

Call (269) 463-3600 Map

Mailing address

100 Michigan NE St MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

Other clinic/center providers in Coloma

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NPI record

NPI: 1558057935
Entity type: Organization (Type 2)
Issued: Apr 18, 2023
Last updated: Apr 18, 2023
Status: Active
Subpart: Yes of Corewell Health

Other names

Corewell Health Watervliet Hospital Gen Surgery · doing business as

Authorized official

Ryan Catignani
VP Contracting
(947) 522-0008

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 1558057935

Lakeland Community Hospital Watervliet's National Provider Identifier is 1558057935, issued on Apr 18, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Coloma, MI. The record was last updated on Apr 18, 2023.