GREAT LAKES MEDICAL CLINIC, PLLC
NPI 1669614152
Clinic/Center - Primary Care in Benton Harbor, MI

Active since March 30, 2009
1850 PIPESTONE RD, SUITE 102-B, BENTON HARBOR, MI 49022(269) 925-8386(269) 925-4085 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Medical Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES MEDICAL CLINIC, PLLC (NPI 1669614152) is a healthcare organization registered as a primary care in Benton Harbor, Michigan and active in the NPI registry since March 2009. The organization lists Dawn Renee Schreckengust, President, as its authorized official.

NPPES Registry Identity

NPI1669614152
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREAT LAKES MEDICAL CLINIC, PLLC
Location Address1850 PIPESTONE RD, SUITE 102-BBenton Harbor, MI 49022-2304
Mailing Address1850 Pipestone Rd, Suite 102-bBenton Harbor, MI 49022-2304 · (269) 925-8386 · Fax (269) 925-4085
Fax(269) 925-4085
Organization SubpartNo
Authorized OfficialDawn Renee SchreckengustPresident · (269) 925-8386
Enumeration DateMarch 30, 2009
NPI 1669614152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MI · 5601002947
1850 PIPESTONE RD, Benton Harbor, MI 49022

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1850 PIPESTONE RD, SUITE 201B
BENTON HARBOR, MI 49022
General Practice
1850 PIPESTONE RD, UNIT 4
BENTON HARBOR, MI 49022
Specialist
1850 PIPESTONE RD, SUITE 101
BENTON HARBOR, MI 49022
Clinic/Center (Urgent Care)
1850 PIPESTONE RD, STE 101
BENTON HARBOR, MI 49022
Clinic/Center
1850 PIPESTONE RD, SUITE 101
BENTON HARBOR, MI 49022
Clinic/Center (Physical Therapy)
1850 PIPESTONE RD, SUITE 202
BENTON HARBOR, MI 49022
Clinic/Center (Physical Therapy)
1850 PIPESTONE RD
BENTON HARBOR, MI 49022
Physical Therapist
1850 PIPESTONE RD, STE. 202A
BENTON HARBOR, MI 49022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Medical Clinic, PLLC's NPI number?

The NPI number for Great Lakes Medical Clinic, PLLC is 1669614152. It was assigned to this organization in the NPPES registry on March 30, 2009.

Where is Great Lakes Medical Clinic, PLLC located?

Great Lakes Medical Clinic, PLLC is located at 1850 Pipestone Rd Suite 102-B, Benton Harbor, MI 49022. The listed phone number is (269) 925-8386.

What is Great Lakes Medical Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Great Lakes Medical Clinic, PLLC was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.