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

Lakeshore Community Hospital, Inc

Organization Clinical Social Worker · NPI 1174889604

Lakeshore Community Hospital, Inc is a Clinical Social Worker in Hart, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Main St
Hart, MI 49420-1190
Phone: (231) 873-5675
Fax: (231) 873-1825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence RO009698 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence AB033570 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence PW011554 (MI)
Physician Assistant Taxonomy 363A00000X · Licence CU005544 (MI)
Physician Assistant Taxonomy 363A00000X · Licence JT003148 (MI)

Record details

NPI number1174889604
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMercy Heatlh Partners Lakeshore Campus
Authorized official Yara Villanueva — Clinic Reimbursement Coordinator · (231) 873-5675
Other names Hart Family Medical Center
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 24, 2013
Mailing address611 E Main St, Hart, MI 49420-1190

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