<Unavail>

LBN: Lake City Primary Care Pc
<Unavail> 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:
Map and Directions
Authorized official contact:
Name: Ball, Jason
Phone: (231) 908-8888

Health care specialties

SpecialtyCodeLicense #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 <Unavail>
Authorized official Ball, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2018
Last updated Oct 3rd, 2022 - about 4 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 1952896151 NPPES
Michigan MEDICAID 238938
Michigan MEDICAID MI12315

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