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LAKE CITY PRIMARY CARE
NPI 1952896151
Clinic/Center - Rural Health in Lake City, MI

Active since June 29, 2018CLIA 23D2158969 · Waiver
1866 S MOREY RD, LAKE CITY, MI 49651(231) 908-8888(833) 989-2153 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Sep 12, 2022, Aug 22, 2018 and 1 more (4 updates tracked since 2018).

About Lake City Primary Care NPPES

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

LAKE CITY PRIMARY CARE (NPI 1952896151) is a healthcare organization registered as a rural health in Lake City, Michigan and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Jason Ball, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1952896151
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLAKE CITY PRIMARY CARE PC
Location Address1866 S MOREY RDLake City, MI 49651
Mailing Address1866 S Morey RdLake City, MI 49651-9190 · (231) 830-7282 · Fax (231) 830-7222
Phone(231) 908-8888
Fax(833) 989-2153
Organization SubpartNo
Authorized OfficialJason BallOffice Manager · (231) 908-8888
Enumeration DateJune 29, 2018
Last NPPES UpdateOctober 3, 20224 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1952896151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
1866 S MOREY RD, Lake City, MI 49651
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Other Names 1

Doing Business AsLake City Primary Care

Other Identifiers 2

Medicaid238938MI
MedicaidMI12315MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2158969

Lake City Primary Care · Lake City, MI
Active · expires Dec 10, 2026
CLIA Number23D2158969
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorChristopher M. Donzell
Laboratory Phone(231) 839-7282
Laboratory LocationLake City Primary Care1866 S Morey Road, Lake City, MI 49651
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

GREGORY LAMBOURNE M.D.
Internal Medicine
1866 S MOREY RD
LAKE CITY, MI 49651
Missaukee County (231) 775-4841
ELIZABETH DAWN TUCK FNP-C
Nurse Practitioner (Primary Care)
1866 S MOREY RD
LAKE CITY, MI 49651
Missaukee County (231) 908-8888
MR. CHRISTOPHER MICHAEL DONZELL FNP-BC
Nurse Practitioner (Family)
1866 S MOREY RD
LAKE CITY, MI 49651
Missaukee County (231) 839-7282

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 Lake City Primary Care PC's NPI number?

The NPI number for Lake City Primary Care PC is 1952896151. It was assigned to this organization in the NPPES registry on June 29, 2018. The provider is doing business as Lake City Primary Care.

Where is Lake City Primary Care PC located?

Lake City Primary Care PC is located at 1866 S Morey Rd, Lake City, MI 49651. The listed phone number is (231) 908-8888.

What is Lake City Primary Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Lake City Primary Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2158969) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake City Primary Care PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lake City Primary Care PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake City Primary Care PC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.