HART FAMILY MEDICAL CENTER – NPI #1174889604
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

HART FAMILY MEDICAL CENTER is a provider located in HART, MI. NPPES has assigned the NPI number 1174889604 to HART FAMILY MEDICAL CENTER on April 10, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HART FAMILY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is LAKESHORE COMMUNITY HOSPITAL, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Apr 24, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HART FAMILY MEDICAL CENTER below.

NPI Profile for
LAKESHORE COMMUNITY HOSPITAL, INC.

NPI Number
1174889604
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESHORE COMMUNITY HOSPITAL, INC.
Doing Business As (dba): HART FAMILY MEDICAL CENTER
Primary location
611 E MAIN ST
HART, MI 49420-1190
Phone: (231) 873-5675 Fax: (231) 873-1825
Mailing address
Same as primary location
Organization Subpart
Yes - HART FAMILY MEDICAL CENTER is subpart of another organization.
Authorized Official
YARA VILLANUEVA
CLINIC REIMBURSEMENT COORDINATOR
Phone: (231) 873-5675
Updated
Identifiers

Identifiers for HART FAMILY MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS0F40011
MEDICAIDMI2963232
MEDICAIDMI3015197
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MI RO009698
363A00000X
- Physician Assistant
MI JT003148
1041C0700X
- Social Worker / Clinical
MI AB033570

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.