LAKESHORE CLINIC, PLLC NPI 1003036732

Clinic/Center (Primary Care) in Muskegon Heights, MI

NPI 1003036732 Organization Clinic/Center Primary Care

About LAKESHORE CLINIC, PLLC

Lakeshore Clinic, Pllc is a primary care provider established in Muskegon Heights, Michigan specializing in clinic/center (primary care) . The NPI number of Lakeshore Clinic, Pllc is 1003036732 and was assigned on April 2007. The practitioner's primary taxonomy code is 261QP2300X with license number 5101006386 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Darien Lamarck Smith (Director)

A primary care provider (PCP) like Lakeshore Clinic, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003036732

Provider NameLAKESHORE CLINIC, PLLC
Provider Location Address445 E SHERMAN BLVD MUSKEGON HEIGHTS, MI 49444
Provider Mailing Address445 E SHERMAN BLVD MUSKEGON HEIGHTS, MI 49444
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date04-26-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care
License No.5101006386
License StateMI

Business Address

LAKESHORE CLINIC, PLLC
445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI
ZIP 49444
Phone: (231) 739-4359
Fax: (231) 733-6151

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Mailing Address

LAKESHORE CLINIC, PLLC
445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI
ZIP 49444
Phone: (231) 739-4359
Fax: (231) 733-6151



Authorized Official

Authorized Official NameMR. DARIEN LAMARCK SMITH
Authorized Official TitleDIRECTOR
Authorized Official Phone(231) 739-4359

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346323961DR. LEON SMITH D.O.
Individual
General Practice445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1609145648EASTSIDE SUBSTANCE ABUSE CLINIC
Organization
Community/Behavioral Health445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI 49444
(231) 739-4359
1730454885EASTSIDE OUTPATIENT SERVICES, PLLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1629117734 THERESA ELLEN MARSHALL LMSW
Individual
Social Worker (Clinical)445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1457753196 CARLA SMITH
Individual
Counselor (Addiction (Substance Use Disorder))445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1942602529 BILL PERRY
Individual
Counselor445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1033509328 MARJORIE COOK
Individual
Counselor (Addiction (Substance Use Disorder))445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1184063414 KAREN ANN CRAWFORD MA LPC CAADC
Individual
Counselor (Professional)445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1487275376EASTSIDE OUTPATIENT SERVICES PLLC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)445 E SHERMAN BLVD
MUSKEGON, MI 49444
(231) 739-4359
1265525265EASTSIDE SUBSTANCE ABUSE CLINIC
Organization
Clinic/Center (Methadone)445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI 49444
(231) 739-4359
1821673765 AMBER ELISABETH VELAZQUEZ RN
Individual
Registered Nurse445 E SHERMAN BLVD
MUSKEGON HEIGHTS, MI 49444
(231) 739-4359

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.