| Bronson South Haven Hospital | |
|
965 S Bailey Ave South Haven MI 49090-9701 | |
| (269) 637-5271 | |
| (269) 639-2818 |
| Full Name | Bronson South Haven Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 965 S Bailey Ave, South Haven, Michigan |
| Authorized Official Name and Position | Rebecca L East (SVP, 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 South Haven Hospital 601 John St Box 42 Kalamazoo MI 49007-5341 Ph: (269) 341-6000 | Bronson South Haven Hospital 965 S Bailey Ave South Haven MI 49090-9701 Ph: (269) 637-5271 |
| NPI Number | 1407072754 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6204724834 |
|---|---|
| Medicare Enrollment ID | O20081205000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407072754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 800020 (Michigan) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 1060000042 (Michigan) | Primary |
Bronson Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 S Bailey Ave, South Haven, MI 49090 Phone: 269-637-5271 Fax: 269-639-2818 | |
Riverside Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Center St, South Haven, MI 49090 Phone: 269-637-2102 Fax: 269-637-3783 | |
Eim Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Phoenix St, Suite 6, South Haven, MI 49090 Phone: 269-872-3352 Fax: 269-872-3357 | |
Bronson Lakeview Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 Fax: 269-639-1314 | |
Bronson South Haven Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 | |
Shoreline Women's Center Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 S. Bailey Ave, South Haven, MI 49090 Phone: 269-637-5271 Fax: 269-639-2819 |