Organization
BRONSON AT HOME
Active
Other names
BAH INFUSION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA EAST (SVP, CFO)
(269) 341-6000
Entity
Organization
Contact information
Practice address
601 JOHN ST STE M-431, KALAMAZOO, MI 49007
(877) 255-4953
(269) 341-7380
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
04/19/2016
Last updated
11/27/2023
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