| Bronson Lakeview Family Care Bangor | |
|
520 Railroad St Bangor MI 49013-1490 | |
| (269) 427-5811 | |
| (269) 427-6107 |
| Full Name | Bronson Lakeview Family Care Bangor |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 Railroad St, Bangor, Michigan |
| Authorized Official Name and Position | Rebecca East (CFO) |
| Authorized Official Contact | 2693416000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronson Lakeview Family Care Bangor 301 John St # 42 Kalamazoo MI 49007-5295 Ph: (269) 341-8536 | Bronson Lakeview Family Care Bangor 520 Railroad St Bangor MI 49013-1490 Ph: (269) 427-5811 |
| NPI Number | 1104459627 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 9032008495 |
|---|---|
| Medicare Enrollment ID | O20200413001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104459627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Intercare Community Heath Network Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Charles Street, Bangor, MI 49013 Phone: 269-427-7937 Fax: 269-427-5180 | |
Intercare Community Health Network Dental Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Charles Street, Bangor, MI 49013 Phone: 269-427-7937 Fax: 269-427-5180 | |
Beacon Specialized Living Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Railroad St, Bangor, MI 49013 Phone: 269-427-8400 | |
Intercare Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Industrial Park Dr, Bangor, MI 49013 Phone: 269-427-7937 Fax: 269-427-5180 | |
Bronson South Haven Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Railroad St, Bangor, MI 49013 Phone: 269-427-5811 Fax: 269-427-6107 | |
Beacon Specialized Living Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Railroad St, Bangor, MI 49013 Phone: 269-427-8400 Fax: 269-427-6027 |