Lake City Primary Care
LBN: Lake City Primary Care Pc
Lake City Primary Care is an health care organization with primary practice located at 1866 S Morey Rd , Lake City MI 49651. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Lake City Primary Care Pc can be contacted via phone (231) 908-8888, or through Ball, Jason via phone (231) 908-8888.
Contact Information
Primary practice address
1866 S Morey Rd
Lake City MI 49651
Phone: (231) 908-8888
Fax: (833) 989-2153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1952896151 |
|---|---|
| LBN Legal business name | Lake City Primary Care Pc |
| DBA Doing business as | Lake City Primary Care |
| Authorized official | Ball, Jason |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 29th, 2018 |
| Last updated | Oct 3rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952896151 | NPPES |
| Michigan | MEDICAID | 238938 | |
| Michigan | MEDICAID | MI12315 |
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