# BRONSON LAKEVIEW HOSPITAL

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

## Provider details

- **NPI number:** 1376767285
- **Legal business name:** BRONSON LAKEVIEW HOSPITAL
- **Authorized official:** REBECCA EAST (SVP, CFO)
- **Authorized official phone:** (269) 341-6000

## Contact information

- **Practice address:** 319 W DELAWARE ST, DECATUR, MI 49045-1106
- **Practice address phone:** (269) 423-7028
- **Practice address fax:** (269) 423-8282
- **Mailing address:** 301 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5295
- **Mailing address phone:** (269) 341-7806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 282NR1301X | Rural Acute Care Hospital | 80-0041 | MI | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 11/27/2023