Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeland Community Hospital Watervliet

Organization Family Medicine Physician · NPI 1083710701

Lakeland Community Hospital Watervliet is a Family Medicine Physician in Coloma, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

6701 Paw Paw Ave
Coloma, MI 49038-9519
Phone: (269) 468-6430
Fax: (269) 468-0013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1083710701
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCorewell Health
Authorized official Matt Cox — Cfo · (616) 391-0780
Other names Corewell Health Watervliet Hospital Primary Care - Coloma
NPI enumeratedSeptember 16, 2006
Last updated in NPPESApril 1, 2023
Certification dateApril 1, 2023
Mailing address400 Medical Park Drive, Watervliet, MI 49098

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