OrganizationActive
Lakeland Immediate Care Center
NPI 1972913150 · Federally Qualified Health Center (FQHC) · Niles, MI
Provider details
- NPI number
- 1972913150
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Lakeland Immediate Care Center
- Organization subpart
- Yes
- Authorized official
- Mary Middleton, Executive Director(269) 445-3874
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
60 N Saint Joseph Ave
Niles, MI 49120-2296
Phone: (269) 683-0300
Fax: (269) 683-0398
Street-level locationGet directions
Mailing address
60 N Saint Joseph Ave
Niles, MI 49120-2296
Other names (DBA / former)
- Doing business as
- Cass Ob/Gyn
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2015-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.