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SOUTHWESTERN MEDICAL CLINIC - ST. JOSEPH
NPI 1710483110
Clinic/Center in Saint Joseph, MI

Active since April 04, 2018
4077 S CLEVELAND AVE, SAINT JOSEPH, MI 49085(269) 429-2992(269) 429-3372 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southwestern Medical Clinic - St. Joseph NPPES

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

SOUTHWESTERN MEDICAL CLINIC - ST. JOSEPH (NPI 1710483110) is a healthcare organization registered as a clinic/center in Saint Joseph, Michigan and active in the NPI registry since April 2018. The organization lists Morgan Vincent, Medical Staff Coordinator, as its authorized official.

NPPES Registry Identity

NPI1710483110
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAKELAND MEDICAL PRACTICES
Location Address4077 S CLEVELAND AVESaint Joseph, MI 49085-9513
Mailing Address4077 S Cleveland AveSaint Joseph, MI 49085-9513 · (269) 429-2992 · Fax (269) 429-3372
Phone(269) 429-2992
Fax(269) 429-3372
Organization SubpartYes
Authorized OfficialMorgan VincentMedical Staff Coordinator · (269) 983-8282
Enumeration DateApril 4, 2018
✔ NPI 1710483110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4077 S CLEVELAND AVE, Saint Joseph, MI 49085
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Other Names 1

Doing Business AsSouthwestern Medical Clinic - St. Joseph

Other Providers at the Same Location NPPES 7

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

MS. HILARY CHRISTINE SLEMP N.P.
Nurse Practitioner (Family)
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
ABIGAIL MAE MAHONEY PA-C
Physician Assistant
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
BAILEY UGGERI
Physician Assistant
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
DR. FREDERICK WILLIAM BORN D.O.
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
FREDERICK W. BORN
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
DR. DOUGLAS GREGORY TACKET D.O.
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992
DR. DANIEL BENSON II D.O.
Family Medicine
4077 S CLEVELAND AVE
SAINT JOSEPH, MI 49085
Berrien County (269) 429-2992

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 Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1710483110. It was assigned to this organization in the NPPES registry on April 4, 2018. The provider is doing business as Southwestern Medical Clinic - St. Joseph.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 4077 S Cleveland Ave, Saint Joseph, MI 49085. The listed phone number is (269) 429-2992.

What is Lakeland Medical Practices's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practices was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.