Lakeland Immediate Care Center
Lakeland Immediate Care Center is a healthcare organization registered as Community/Retail Pharmacy in Niles, MI, holding Type 2 (organization) NPI 1144866310 since 2019. The authorized official on file is Joseph Gavan, Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1144866310 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakeland Immediate Care Center |
| Other name | <Unavail> |
| Parent organization | Lakeland Immediate Care Center |
| Practice address | 1951 OAK ST, Niles, MI, 49120 |
| Phone | 2692624749 |
| Enumeration date | 2019-11-22 |
| Last updated in NPPES | 2025-09-04 |
Authorized official
| Name | Joseph Gavan |
|---|---|
| Title | Ceo |
| Phone | 2694453874 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144866310 | Medicaid | MI | — |
Copy-ready billing details
Provider: Lakeland Immediate Care Center NPI: 1144866310 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1951 OAK ST, Niles, MI, 49120
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063635159 | Lori Ann Partee | Individual | Clinical Social Worker | Niles, MI |
| 1013297159 | Kevin Klipowicz | Individual | Pharmacist | Niles, MI |
| 1760802912 | Lakeland Immediate Care Center | Organization | Federally Qualified Health Center (FQHC) | Niles, MI |
| 1003215203 | Elliot Anderson | Individual | Pharmacist | Niles, MI |
| 1275995219 | Matthew Pazderka | Individual | Family Medicine Physician | Niles, MI |
| 1447701008 | Lakeland Immediate Care Center | Organization | Dental Clinic/Center | Niles, MI |
| 1477099935 | Stanley Ruder | Individual | Psychiatric/Mental Health Nurse Practitioner | Niles, MI |
| 1609303098 | Alexander Schneider | Individual | Family Medicine Physician | Niles, MI |
Verify this record
Cross-check NPI 1144866310 against the authoritative CMS record: view Lakeland Immediate Care Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lakeland Immediate Care Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-04.