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BRONSON METHODIST HOSPITAL NPI 1013089820


NPI Information

NPI: 1013089820
Provider Name: BRONSON METHODIST HOSPITAL
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 23D0650932

Address:
5121 S WESTNEDGE AVE
PORTAGE, MI
ZIP 49002
Phone: (269) 552-4212
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BRONSON METHODIST HOSPITAL is a physician assistant in Portage, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. BRONSON METHODIST HOSPITAL NPI is 1013089820. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5121 S WESTNEDGE AVE
PORTAGE, MI
ZIP 49002-404
Phone: (269) 552-4212

The provider's authorized official is Rebecca East .
The authorized official title is Svp, Cfo and has the following contact phone number (269) 341-6000.

The CLIA number assigned to this NPI record is 23D0650932 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2207P00000XEmergency MedicineNo
3363A00000XPhysician AssistantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1420C910610OTHERMICHIGANBCBSM GROUP PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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