BRONSON METHODIST HOSPITAL (NPI# 1821081639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821081639 |
| Entity Type | Organization |
| Organization Name | BRONSON METHODIST HOSPITAL |
| Other Organization Name | BRONSON PHARMACY-MATTAWAN |
| Practice Address |
52375 N Main St Mattawan MI 49071-9332 |
| Practice Telephone | 2696686205 |
| Practice Fax Number | 2696685071 |
| Mailing Telephone | 2696686205 |
| Mailing Fax Number | 2696685071 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2015-10-16 |
| Authorized Official Name | MRS. HOLLY WAGNER (PHARMACY MANAGER) |
| Authorized Official Telephone | 2693416244 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 5301006938 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NABP NUMBER | 2359607 | 01 |
| Other Name | Type Code |
|---|---|
| Bronson Pharmacy-Mattawan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| 1316305816 | Bronson Methodist Hospital | Orthopaedic Surgery | 601 John St, Suite M230, Kalamazoo, MI 49007-5341 | 2016-01-29 |
| 1508224007 | Bronson Methodist Hospital | Durable Medical Equipment & Medical Supplies | 601 John St, Suite M424, Kalamazoo, MI 49007-5341 | 2016-01-29 |
| 1801298799 | Bronson Methodist Hospital | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2014-09-23 |
| 1891132908 | Bronson Methodist Hospital | Durable Medical Equipment & Medical Supplies | 601 John St, Suite M-230, Kalamazoo, MI 49007-5341 | 2013-05-30 |
| 1275860819 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St, Box 67, Kalamazoo, MI 49007-5341 | 2009-11-03 |
| 1215103312 | Bronson Methodist Hospital | General Acute Care Hospital | 820 John St, 102, Kalamazoo, MI 49001-2870 | 2008-05-08 |
| 1487726295 | Bronson Methodist Hospital | Physician Assistant | 601 John Street, Kalamazoo, MI 49007 | 2006-11-15 |
| 1104998913 | Bronson Methodist Hospital | Physician Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2006-11-15 |
| 1013089820 | Bronson Methodist Hospital | Nurse Practitioner | 5121 S Westnedge Ave, Portage, MI 49002-0404 | 2006-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRONSON METHODIST HOSPITAL | 601 John St Ste E-012, Kalamazoo, MI 49007-5346 |
| Street Address |
52375 N MAIN ST |
| City | MATTAWAN |
| State | MI |
| Zip Code | 49071-9332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205835535 | Steve Elliot Reiman | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-07-19 |
| 1477976363 | Haley Crites | Physician Assistant | 52375 N Main St, Box 89, Mattawan, MI 49071-9332 | 2014-01-28 |
| 1598052433 | Angeli Certa | Pharmacist | 52375 N Main St, Mattawan, MI 49071-9332 | 2011-06-29 |
| 1447474267 | Bronson Lakeview Hospital | Family Medicine | 52375 N Main St, Mattawan, MI 49071-9332 | 2007-04-12 |
| 1205921251 | Jay Phillip Horwich | Orthopaedic Surgery | 52375 N Main St, Mattawan, MI 49071-9332 | 2006-10-04 |
| 1841288701 | Eric Alan Kennedy | Physician Assistant | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-10-13 |
| 1326047358 | Laura Catherine Ford | Nurse Practitioner | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617598 | Sheryl Ann Miller | Psychologist | 8570 Pq Avenue, Mattawan, MI 49071 | 2018-07-30 |
| 1568997054 | Willow Path Counseling Services | Community/Behavioral Health | 8089 Stadium Drive, Suite A, Kalamazoo, MI 49071 | 2017-04-22 |
| 1154508596 | Red Cedar Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 50762 Kiawah Trail, Suite B, Mattawan, MI 49071 | 2008-01-29 |
| 1639214794 | Rebecca Carr | Speech-Language Pathologist | 22899 Weather Vane Ct, Mattawan, MI 49071 | 2007-02-20 |
| 1891898730 | Edward I Porter | Counselor | 5500 Armstrong Road, Battle Creek Vamc, Battle Creek, MI 49071 | 2006-09-06 |
| 1376655365 | Mattawan Pharmacy | Pharmacy | 52366 N Main St, Mattawan, MI 49071-0069 | 2006-08-31 |
| 1164812491 | Sarah Mohney | Specialist/Technologist | 26402 Trestle Creek Ave, Mattawan, MI 49071-7713 | 2015-01-26 |
| 1114071487 | Shannon L Logsdon | Physical Therapist | 23200 Red Arrow Hwy Ste A, Mattawan, MI 49071-7754 | 2007-01-23 |
| 1447346036 | Kevin James Lacey | Physical Therapist | 23200 Red Arrow Hwy, A, Mattawan, MI 49071-7754 | 2006-10-04 |
| 1780002014 | Melissa Hulbert | Dental Hygienist | 23200 Red Arrow Hwy, Mattawan, MI 49071-7754 | 2014-04-03 |
| Find all providers in zip 49071 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356571988 | Central Pharmacy-mattawan LLC | Pharmacy | 56109 Village Center Cir, Mattawan, MI 49071-8368 | 2009-07-16 |
| 1730327784 | Afav Enterprises LLC | Pharmacy | 52366 N Main St, Mattawan, MI 49071-9332 | 2009-01-29 |
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| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| 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.