BRONSON LAKEVIEW HOSPITAL (NPI# 1447474267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447474267 |
| Entity Type | Organization |
| Organization Name | BRONSON LAKEVIEW HOSPITAL |
| Other Organization Name | BRONSON LAKEVIEW FAMILY CARE-MATTAWAN |
| Practice Address |
52375 N Main St Mattawan MI 49071-9332 |
| Mailing Address |
301 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2696683348 |
| Practice Fax Number | 2696687702 |
| Mailing Telephone | 2693417806 |
| Mailing Fax Number | 2693418913 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-08-20 |
| Authorized Official Name | REBECCA EAST (SVP, 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
80-0041 | MI | Hospitals |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bronson LakeView Family Care-Mattawan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459627 | Bronson Lakeview Hospital | Clinic/Center | 520 Railroad St, Bangor, MI 49013-1490 | 2020-02-13 |
| 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 |
| 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 |
52375 N MAIN ST |
| City | MATTAWAN |
| State | MI |
| Zip Code | 49071-9332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835535 | Steve Elliot Reiman | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-07-19 |
| 1477976363 | Haley Crites | Physician Assistant | 52375 N Main St, Box 89, Mattawan, MI 49071-9332 | 2014-01-28 |
| 1598052433 | Angeli Certa | Pharmacist | 52375 N Main St, Mattawan, MI 49071-9332 | 2011-06-29 |
| 1205921251 | Jay Phillip Horwich | Orthopaedic Surgery | 52375 N Main St, Mattawan, MI 49071-9332 | 2006-10-04 |
| 1841288701 | Eric Alan Kennedy | Physician Assistant | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-10-13 |
| 1821081639 | Bronson Methodist Hospital | Pharmacy | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-08-26 |
| 1326047358 | Laura Catherine Ford | Nurse Practitioner | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617598 | Sheryl Ann Miller | Psychologist | 8570 Pq Avenue, Mattawan, MI 49071 | 2018-07-30 |
| 1568997054 | Willow Path Counseling Services | Community/Behavioral Health | 8089 Stadium Drive, Suite A, Kalamazoo, MI 49071 | 2017-04-22 |
| 1154508596 | Red Cedar Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 50762 Kiawah Trail, Suite B, Mattawan, MI 49071 | 2008-01-29 |
| 1639214794 | Rebecca Carr | Speech-Language Pathologist | 22899 Weather Vane Ct, Mattawan, MI 49071 | 2007-02-20 |
| 1891898730 | Edward I Porter | Counselor | 5500 Armstrong Road, Battle Creek Vamc, Battle Creek, MI 49071 | 2006-09-06 |
| 1376655365 | Mattawan Pharmacy | Pharmacy | 52366 N Main St, Mattawan, MI 49071-0069 | 2006-08-31 |
| 1164812491 | Sarah Mohney | Specialist/Technologist | 26402 Trestle Creek Ave, Mattawan, MI 49071-7713 | 2015-01-26 |
| 1114071487 | Shannon L Logsdon | Physical Therapist | 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071-7754 | 2007-01-23 |
| 1447346036 | Kevin James Lacey | Physical Therapist | 23200 Red Arrow Hwy, A, Mattawan, MI 49071-7754 | 2006-10-04 |
| 1780002014 | Melissa Hulbert | Dental Hygienist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2014-04-03 |
| Find all providers in zip 49071 | ||||
| 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.