LAKELAND IMMEDIATE CARE CENTER
NPI 1760802912
Clinic/Center - Federally Qualified Health Center (FQHC) in Niles, MI

NPI Status: Active since April 25, 2014

Contact Information

1951 OAK ST
NILES, MI
ZIP 49120
Phone: (269) 262-4749
Fax: (269) 262-4739

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About LAKELAND IMMEDIATE CARE CENTER

This page provides the complete NPI Profile along with additional information for Lakeland Immediate Care Center, a primary care provider established in Niles, Michigan operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1760802912 assigned on April 2014. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated September 2025. The provider's . The authorized official of this NPI record is Joseph Gavan (Executive Director)

NPI
1760802912
Provider Legal Name
LAKELAND IMMEDIATE CARE CENTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1951 OAK ST NILES, MI 49120
Location Phone
(269) 262-4749
Location Fax
(269) 262-4739
Mailing Address
1951 OAK ST NILES, MI 49120
Mailing Phone
(269) 262-4749
Mailing Fax
(269) 262-4739
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-25-2014
Last Update Date
09-04-2025
Code Navigator

A primary care provider (PCP) like Lakeland Immediate Care Center 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 .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH GAVAN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(269) 445-3874

Reviews for LAKELAND IMMEDIATE CARE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760802912
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120160492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 6 + 0 + 4 + 9 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1760802912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215459235 JOHN MOURAD ZAKHARY MD
Individual
Family Medicine1951 OAK ST
NILES, MI 49120
(269) 262-4749
1013297159MR. KEVIN MICHAEL KLIPOWICZ PHARMD
Individual
Pharmacist1951 OAK ST
NILES, MI 49120
(269) 665-8900
1003215203 ELLIOT RICHARD ANDERSON PHARMD
Individual
Pharmacist1951 OAK ST
NILES, MI 49120
(269) 665-8900
1609303098DR. ALEXANDER SCHNEIDER DO
Individual
Family Medicine1951 OAK ST
NILES, MI 49120
(269) 262-4749
1780317958 BRANDON ZWICK
Individual
Physician Assistant1951 OAK ST
NILES, MI 49120
(269) 262-4749
1063635159 LORI ANN MICHELLE PARTEE LMSW
Individual
Social Worker (Clinical)1951 OAK ST
NILES, MI 49120
(269) 665-8800
1528709136 MELISSA BURPEE NP
Individual
Nurse Practitioner (Family)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1043871254 MADISON RAE MICK DMD
Individual
Dentist (General Practice)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1275995219 MATTHEW PAZDERKA
Individual
Family Medicine1951 OAK ST
NILES, MI 49120
(269) 262-4749
1477099935 STANLEY RUDER PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1144866310LAKELAND IMMEDIATE CARE CENTER
Organization
Pharmacy (Community/Retail Pharmacy)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1447701008LAKELAND IMMEDIATE CARE CENTER
Organization
Clinic/Center (Dental)1951 OAK ST
NILES, MI 49120
(269) 262-4364
1629867973MR. KYLE F ROTONDO FNP-C
Individual
Nurse Practitioner (Primary Care)1951 OAK ST
NILES, MI 49120
(269) 262-4749

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760802912, enumerated in the NPI registry as an "organization" on April 25, 2014

The provider is located at 1951 Oak St Niles, Mi 49120 and the phone number is (269) 262-4749

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 25, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.