Hart Family Medical Center

LBN: Lakeshore Community Hospital, Inc.
Hart Family Medical Center is an health care organization with primary practice located at 611 E Main St , Hart MI 49420-1190. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Lakeshore Community Hospital, Inc. can be contacted via phone (231) 873-5675, or through Villanueva, Yara via phone (231) 873-5675.

Contact Information

Primary practice address
611 E Main St Hart MI 49420-1190
Phone: (231) 873-5675
Fax: (231) 873-1825
Website:
Map and Directions
Authorized official contact:
Name: Villanueva, Yara
Phone: (231) 873-5675

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X AB033570 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RO009698 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PW011554 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X CU005544 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X JT003148 Michigan

Profile Details

NPI number 1174889604
LBN Legal business name Lakeshore Community Hospital, Inc.
DBA Doing business as Hart Family Medical Center
Authorized official Villanueva, Yara
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 10th, 2012
Last updated Apr 24th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174889604 NPPES
Michigan MEDICAID 3015197
Michigan Other 0F40011
Michigan MEDICAID 2963232

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