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Organization

BRONSON METHODIST HOSPITAL

Active
Parent organization
BRONSON METHODIST HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRONSON METHODIST HOSPITAL
Authorized official
REBECCA EAST (SVP, CFO)
(269) 341-6000
Entity
Organization

Contact information

Practice address
6220 W MAIN ST, KALAMAZOO, MI 49009-8925
(269) 552-4212
Mailing address
301 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5295
(269) 341-7806

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
363A00000X
Physician Assistant
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
420C910610
BCBSM GROUP PIN
MI
Enumeration date
11/15/2006
Last updated
11/20/2025
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