Organization · Type 2 NPI

Bronson Lakeview Hospital

Rural Health Clinic/Center · Decatur, MI

NPI number 1376767285 Active

Practice location

319 W Delaware St
Decatur, MI 49045-1106

Call (269) 423-7028 Map

Fax (269) 423-8282

Mailing address

301 John St, Box 42
Kalamazoo, MI 49007-5295

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed
Rural Acute Care Hospital	282NR1301X	80-0041 (MI)

Rural Health Clinic/Center: Definition to come...

7 other providers at this address

NPI record

NPI: 1376767285
Entity type: Organization (Type 2)
Issued: Apr 12, 2007
Last updated: Nov 27, 2023
Status: Active
Subpart: Yes of Bronson Lakeview Hospital

Other names

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Bronson Lakeview Family Care-Decatur · doing business as
Bronson Lakeview Family Care-Decatur · doing business as

Authorized official

Rebecca East
SVP, CFO
(269) 341-6000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376767285

Bronson Lakeview Hospital's National Provider Identifier is 1376767285, issued on Apr 12, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Decatur, MI. The record was last updated on Nov 27, 2023.