Lakeshore Community Hospital, Inc.
NPI 1174889604ActiveOrganization· Family Medicine· Hart, MI
Family Medicine in Hart, Michigan, registered in NPPES in April 2012, part of Mercy Heatlh Partners Lakeshore Campus. The authorized official on file is Yara Villanueva, Clinic Reimbursement Coordinator.
Overview
| NPI | 1174889604 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mercy Heatlh Partners Lakeshore Campus |
| NPI issued | Apr 10, 2012 |
| Last updated in NPPES | Apr 24, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | RO009698 | MI |
| Social Worker, Clinical | 1041C0700X | AB033570 | MI |
| Family Medicine | 207Q00000X | PW011554 | MI |
| Physician Assistant | 363A00000X | CU005544 | MI |
| Physician Assistant | 363A00000X | JT003148 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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