# BRONSON SOUTH HAVEN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407072754
- **Authorized official:** MS. REBECCA L EAST (SVP, CFO)
- **Authorized official phone:** (269) 341-6000

## Contact information

- **Practice address:** 955 S BAILEY AVE STE 200, SOUTH HAVEN, MI 49090-6743
- **Practice address phone:** (269) 637-5271
- **Practice address fax:** (269) 639-2818
- **Mailing address:** 601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
- **Mailing address phone:** (269) 341-6000
- **Mailing address fax:** (269) 341-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 800020 | MI | — |
| 261QR1300X | Rural Health Clinic/Center | 1060000042 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 11/20/2025