# BRONSON LAKEVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRONSN LAKEVIEW HOSPITAL
- **Other names:** Bronson LakeView Family Care-Blue Star
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801538871
- **Legal business name:** BRONSN LAKEVIEW HOSPITAL
- **Authorized official:** REBECCA EAST (CFO)
- **Authorized official phone:** (269) 341-6000

## Contact information

- **Practice address:** 930 BLUE STAR HWY, SOUTH HAVEN, MI 49090-7758
- **Practice address phone:** (269) 637-1115
- **Practice address fax:** (269) 639-1314
- **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:** 04/11/2022
- **Last updated:** 04/11/2022