Organization
BRONSON LAKEVIEW HOSPITAL
Active
Parent organization
BRONSON LAKEVIEW HOSPITAL
Other names
Bronson Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRONSON LAKEVIEW HOSPITAL
Authorized official
REBECCA EAST (SVP, CFO)
(269) 341-6000
Entity
Organization
Contact information
Practice address
451 HEALTH PKWY, PAW PAW, MI 49079-8242
(269) 657-2550
(269) 657-2285
Mailing address
301 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5295
(269) 341-7806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
MI
208600000X
Surgery Physician
—
MI
363AM0700X
Medical Physician Assistant
—
MI
363L00000X
Nurse Practitioner
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238546
RHC-DECATUR
—
01
—
238585
RHC-MARCELLUS
—
01
—
238600
RHC-LAWTON
—
01
—
238601
RHC-PAW PAW
—
Enumeration date
08/11/2005
Last updated
11/27/2023
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