BRONSON LAKEVIEW HOSPITAL (NPI# 1750482444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750482444 |
| Entity Type | Organization |
| Organization Name | BRONSON LAKEVIEW HOSPITAL |
| Practice Address |
408 Hazen St Paw Paw MI 49079-1019 |
| Mailing Address |
601 John St Box 42 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2696571525 |
| Practice Fax Number | 2696571474 |
| Mailing Telephone | 2693417806 |
| Mailing Fax Number | 2693418913 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | REBECCA EAST (SVP, CFO) |
| Authorized Official Telephone | 2693416000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRONSON LAKEVIEW HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459627 | Bronson Lakeview Hospital | Clinic/Center | 520 Railroad St, Bangor, MI 49013-1490 | 2020-02-13 |
| 1740424068 | Bronson Lakeview Hospital | Nurse Anesthetist, Certified Registered | 601 John St, Box 42, Kalamazoo, MI 49007-5341 | 2009-04-30 |
| 1639313174 | Bronson Lakeview Hospital | Psychologist | 404 Hazen St, Suite L3, Paw Paw, MI 49079-1040 | 2009-04-28 |
| 1376767285 | Bronson Lakeview Hospital | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2007-04-12 |
| 1629292446 | Bronson Lakeview Hospital | Family Medicine | 310 White Oak Rd, Lawton, MI 49065-9705 | 2007-04-12 |
| 1538383351 | Bronson Lakeview Hospital | Family Medicine | 110 E Main St, Marcellus, MI 49067-8523 | 2007-04-12 |
| 1447474267 | Bronson Lakeview Hospital | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2007-04-12 |
| 1356565170 | Bronson Lakeview Hospital | General Acute Care Hospital | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2007-04-12 |
| 1962508259 | Bronson Lakeview Hospital | General Acute Care Hospital | 408 Hazen St, Paw Paw, MI 49079-1019 | 2006-09-15 |
| 1235131137 | Bronson Lakeview Hospital | Nurse Practitioner | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2005-08-11 |
| Street Address |
408 HAZEN ST |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992741599 | John F Boothby | Nurse Anesthetist, Certified Registered | 408 Hazen St, Paw Paw, MI 49079-1019 | 2006-06-21 |
| 1376195032 | Erik Matheny | Physical Therapist | 408 Hazen St, Paw Paw, MI 49079-1019 | 2019-07-12 |
| 1033396023 | Southwestern Michigan Emergency Services, PC | Emergency Medicine | 408 Hazen St, Emergency Department, Paw Paw, MI 49079-1019 | 2008-01-22 |
| 1164645388 | Bryan Shawn Parks | Nurse Anesthetist, Certified Registered | 408 Hazen St, Paw Paw, MI 49079-1019 | 2007-04-10 |
| 1962508259 | Bronson Lakeview Hospital | General Acute Care Hospital | 408 Hazen St, Paw Paw, MI 49079-1019 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982983094 | Senior Psychiatric Hospitalists of Mi, Pllc | Psychiatric Unit | 3572 Empire State Dr, Canton, MI 48188-8202 | 2011-08-07 |
| 1841591260 | Growing Counseling Services, LLC | Psychiatric Unit | 446 Tobin Dr, 311, Inkster, MI 48141-3557 | 2010-11-17 |
| 1548426372 | Gloria Carr | Psychiatric Unit | 404 Velvet Ave, Portage, MI 49002-7050 | 2008-07-31 |
| 1356370522 | Advanced Counseling Services | Psychiatric Unit | 6223 N Canton Center Rd, Ste. 210, Canton, MI 48187-2696 | 2006-07-01 |
| 1669431292 | Edward W. Sparrow Hospital Association | Psychiatric Unit | 1210 W. Saginaw Street, Lansing, MI 48912-1999 | 2006-03-22 |
| 1831179837 | Mclaren Greater Lansing | Psychiatric Unit | 2727 S Penn Ave, Lansing, MI 48910-3488 | 2006-01-18 |
| 1003892092 | Ascension Providence Hospital | Psychiatric Unit | 16001 W. 9 Mile Road, Southfield, MI 48075-4818 | 2005-12-21 |
| 1265426704 | Healthsource Saginaw Inc | Psychiatric Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2005-09-09 |
| 1407480247 | Prime Healthcare Services - Garden City, LLC | Psychiatric Unit | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-03-02 |
| 1255748307 | Henry Ford Health System | Psychiatric Unit | 1 Ford Pl, Detroit, MI 48202-3450 | 2014-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.