# BRONSON LAKEVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRONSON LAKEVIEW HOSPITAL
- **Other names:** Bronson LakeView Family Care Bangor
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104459627
- **Legal business name:** BRONSON LAKEVIEW HOSPITAL
- **Authorized official:** REBECCA EAST (CFO)
- **Authorized official phone:** (269) 341-6000

## Contact information

- **Practice address:** 520 RAILROAD ST, BANGOR, MI 49013-1490
- **Practice address phone:** (269) 427-5811
- **Practice address fax:** (269) 427-6107
- **Mailing address:** 301 JOHN ST \# 42, KALAMAZOO, MI 49007-5295
- **Mailing address phone:** (269) 341-8536
- **Mailing address fax:** (269) 341-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 11/27/2023