BRONSON LAKEVIEW HOSPITAL NPI 1447474267

NPI Information

NPI: 1447474267
Provider Name: BRONSON LAKEVIEW HOSPITAL

Doing Business As: BRONSON LAKEVIEW FAMILY CARE-MATTAWAN

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
52375 N MAIN ST
MATTAWAN, MI
ZIP 49071
Phone: (269) 668-3348
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BRONSON LAKEVIEW HOSPITAL is a rural health clinic center in Mattawan, MI. BRONSON LAKEVIEW HOSPITAL NPI is 1447474267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bronson Lakeview Family Care-mattawan.

The provider's business location address is:

52375 N MAIN ST
MATTAWAN, MI
ZIP 49071-332
Phone: (269) 668-3348
Fax: (269) 668-7702

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 23D0377816 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/20/2016.

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
1	207Q00000X	Family Medicine				No
2	282NR1301X	General Acute Care Hospital	Rural	80-0041	MICHIGAN	No
3	261QR1300X	Clinic/Center	Rural Health			Yes

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
1	238613	MEDICARE OSCAR/CERTIFICATION	MICHIGAN

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

NPI Synchronization or Removal

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