| Lakeland Community Hospital Watervliet | |
| 
					6701 Paw Paw Ave Coloma MI 49038-9519  | |
| (269) 468-6430 | |
| (269) 468-0013 | 
| Full Name | Lakeland Community Hospital Watervliet | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 6701 Paw Paw Ave, Coloma, Michigan | 
| Authorized Official Name and Position | Matt Cox (CFO) | 
| Authorized Official Contact | 6163910780 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakeland Community Hospital Watervliet 400 Medical Park Drive Watervliet MI 49098 Ph: (269) 463-2448  | Lakeland Community Hospital Watervliet 6701 Paw Paw Ave Coloma MI 49038-9519 Ph: (269) 468-6430  | 
| NPI Number | 1083710701 | 
|---|---|
| Provider Enumeration Date | 09/16/2006 | 
| Last Update Date | 04/01/2023 | 
| Medicare PECOS PAC ID | 7416942750 | 
|---|---|
| Medicare Enrollment ID | O20070119000297 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083710701 | NPI | - | NPPES | 
| 700A110160 | Other | MI | BCBSM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary | 
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Lakeland Medical Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6559 Paw Paw Ave, Coloma, MI 49038 Phone: 269-468-4100 Fax: 269-468-3334  | |
Red Arrow Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 Red Arrow Hwy, Coloma, MI 49038 Phone: 269-468-4100 Fax: 269-468-3334  | |
Tri-city Medical Clinic Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6633 Red Arrow Hwy, Coloma, MI 49038 Phone: 269-468-7684 Fax: 269-468-7687  | |
Lakeland Community Hospital Watervliet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6559 Paw Paw Ave, Coloma, MI 49038 Phone: 269-463-3600  | |
Red Arrow Medical Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6572 Red Arrow Hwy, Coloma, MI 49038 Phone: 269-605-9453 Fax: 765-964-4300  | |
Be Restored Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Friday Rd, Coloma, MI 49038 Phone: 269-470-1797  |