Lakeshore Internal Medicine And Pediatric Associates

LBN: Lakeshore Internal Medicine And Pediatric Associates
Lakeshore Internal Medicine And Pediatric Associates is an health care organization with primary practice located at 437 North 120Th Ave , Holland MI 49424. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Lakeshore Internal Medicine And Pediatric Associates can be contacted via phone (616) 738-0737, or through Martin, Barbara via phone (616) 453-6329.

Contact Information

Primary practice address
437 North 120Th Ave Holland MI 49424
Phone: (616) 738-0737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Barbara CPC
Phone: (616) 453-6329

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301066494 Michigan
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301074294 Michigan
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 4301074445 Michigan

Profile Details

NPI number 1003924739
LBN Legal business name Lakeshore Internal Medicine And Pediatric Associates
DBA Doing business as
Authorized official Martin, Barbara CPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Jun 7th, 2016 - about 8 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 1003924739 NPPES
Michigan MEDICAID 4193863
Michigan MEDICAID 4531728
Michigan MEDICAID 4529541

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