Organization
BRONSON -VICKSBURG HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M MEITZ (VICE PRESIDENT, FINANCE)
(269) 341-8988
Entity
Organization
Contact information
Practice address
13326 N BOULEVARD ST, VICKSBURG, MI 49097-1514
(269) 649-2321
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
390030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00146
BCBSM
MI
05
—
1764299
—
MI
05
—
1764341
—
MI
01
—
50-30002
UNITED HEALTHCARE
MI
Enumeration date
07/08/2006
Last updated
06/02/2009
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