BRONSON LAKEVIEW HOSPITAL (NPI# 1104459627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104459627 |
| Entity Type | Organization |
| Organization Name | BRONSON LAKEVIEW HOSPITAL |
| Other Organization Name | BRONSON LAKEVIEW FAMILY CARE BANGOR |
| Practice Address |
520 Railroad St Bangor MI 49013-1490 |
| Mailing Address |
301 John St # 42 Kalamazoo MI 49007-5295 |
| Practice Telephone | 2694275811 |
| Practice Fax Number | 2694276107 |
| Mailing Telephone | 2693418536 |
| Mailing Fax Number | 2693418913 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | REBECCA EAST (CFO) |
| Authorized Official Telephone | 2693416000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRONSON LAKEVIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bronson LakeView Family Care Bangor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740424068 | Bronson Lakeview Hospital | Nurse Anesthetist, Certified Registered | 601 John St, Box 42, Kalamazoo, MI 49007-5341 | 2009-04-30 |
| 1639313174 | Bronson Lakeview Hospital | Psychologist | 404 Hazen St, Suite L3, Paw Paw, MI 49079-1040 | 2009-04-28 |
| 1376767285 | Bronson Lakeview Hospital | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2007-04-12 |
| 1629292446 | Bronson Lakeview Hospital | Family Medicine | 310 White Oak Rd, Lawton, MI 49065-9705 | 2007-04-12 |
| 1538383351 | Bronson Lakeview Hospital | Family Medicine | 110 E Main St, Marcellus, MI 49067-8523 | 2007-04-12 |
| 1447474267 | Bronson Lakeview Hospital | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2007-04-12 |
| 1356565170 | Bronson Lakeview Hospital | General Acute Care Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2007-04-12 |
| 1750482444 | Bronson Lakeview Hospital | Psychiatric Unit | 408 Hazen St, Paw Paw, MI 49079-1019 | 2006-09-26 |
| 1962508259 | Bronson Lakeview Hospital | General Acute Care Hospital | 408 Hazen St, Paw Paw, MI 49079-1019 | 2006-09-15 |
| 1235131137 | Bronson Lakeview Hospital | Nurse Practitioner | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2005-08-11 |
| Street Address |
520 RAILROAD ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831124338 | Isolde Kissinger | Physician Assistant | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-12 |
| 1013468107 | Kelley Campbell | Nurse Practitioner | 520 Railroad St, Bangor, MI 49013-1490 | 2016-10-24 |
| 1750673711 | Caralyn Dehaan | Family Medicine | 520 Railroad St, Bangor, MI 49013-1490 | 2011-05-10 |
| 1174737241 | David Lyman | Family Medicine | 520 Railroad St, Bangor, MI 49013-1490 | 2007-05-09 |
| 1770599052 | Bronson South Haven Hospital | Family Medicine | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-31 |
| 1629097175 | Rhonda L. Shinault | Physician Assistant | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.