BRONSON SOUTH HAVEN HOSPITAL


Address: 970 S Bailey Ave, South Haven, MI 49090
Phone: 2696372916

BRONSON SOUTH HAVEN HOSPITAL (NPI# 1902149818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902149818
Entity Type Organization
Organization Name BRONSON SOUTH HAVEN HOSPITAL
Other Organization Name BRONSON URGENT CARE
Practice Address 970 S Bailey Ave
South Haven
MI 49090
Mailing Address 301 John St # 42
Kalamazoo
MI 49007-5295
Practice Telephone 2696372916
Mailing Telephone 2693417806
Enumeration Date 2013-03-28
Last Update Date 2018-08-03
Authorized Official Name REBECCA EAST (SVP, CFO)
Authorized Official Telephone 2693416000
Is Organization Subpart Y
Parent Organization Name BRONSON SOUTH HAVEN HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 261QU0200X Clinic/Center
Specialization: Urgent Care
1060000042 MI Ambulatory Health Care Facilities
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 5171922 05

Other Provider/Organization Names

Other Name Type Code
Bronson Urgent Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174749170 Bronson South Haven Hospital Internal Medicine 950 S Bailey Ave, South Haven, MI 49090-8744 2007-04-18
1871104034 Bronson South Haven Hospital Family Medicine 930 Blue Star Hwy, South Haven, MI 49090-7758 2020-08-12
1790261832 Bronson South Haven Hospital Emergency Medicine 970 S Bailey Ave, South Haven, MI 49090 2018-07-12
1407072754 Bronson South Haven Hospital Clinic/Center 965 S Bailey Ave, South Haven, MI 49090-9701 2007-04-17
1467539502 Bronson South Haven Hospital Home Health 955 S Bailey Ave, South Haven, MI 49090-9701 2006-11-01
1770599052 Bronson South Haven Hospital Family Medicine 520 Railroad St, Bangor, MI 49013-1490 2006-07-31
1346275856 Bronson South Haven Hospital General Acute Care Hospital 955 S Bailey Ave, South Haven, MI 49090-9701 2006-07-12

Office Location

Street Address 970 S BAILEY AVE
City SOUTH HAVEN
State MI
Zip Code 49090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790261832 Bronson South Haven Hospital Emergency Medicine 970 S Bailey Ave, South Haven, MI 49090 2018-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295234490 Katara Therapy, LLC Social Worker 13560 76th Street, Suite 3, South Haven, MI 49090 2018-02-03
1487022091 Kevin E. Ferrell Physician Assistant 955 S. Bailey Avenue, South Haven, MI 49090 2015-09-14
1942638002 Birdie Farley Chore Provider 26725 M-140 Hwy, South Haven, MI 49090 2013-10-28
1730514910 Rebecca A. Bennett Counselor 1675 Phoenix Road, Suite 9, South Haven, MI 49090 2013-09-06
1265629927 Cecilia Liz Vives Vasquez Physical Therapist 23701 Red Arrow Hwy, Mattawan, MI 49090 2007-09-26
1518089788 Donald Jam,es Buckley Pharmacist 955 S Bailey, South Haven, MI 49090 2007-04-06
1366568966 Norman M Maly Dentist 05055 Blue Star Hwy, South Haven, MI 49090 2007-03-22
1639264062 Deborah Sue Distefano Pharmacy Technician 512 Phoenix Street, South Haven, MI 49090 2006-10-03
1053357897 Stephen Earl Tolen Chiropractor 325 Superior St., South Haven, MI 49090 2006-06-21
1093249377 Success By Strengths LLC Social Worker 05055 Blue Star Hwy, South Haven, MI 49090 2017-04-13
Find all providers in zip 49090

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487022091 Kevin E. Ferrell Physician Assistant 955 S. Bailey Avenue, South Haven, MI 49090 2015-09-14
1952742603 Andrew Josiah Rife Physician Assistant 955 S Bailey Ave, South Haven, MI 49090-6743 2013-07-10
1013225549 Evan Ashley Gillo Physician Assistant 955 S Bailey Ave, South Haven, MI 49090-9701 2010-09-17
1891885281 James L. Wertheimer Physician Assistant 930 Blue Star Hwy, South Haven, MI 49090-7758 2006-10-13
1164457669 Anne Slachta Physician Assistant 965 S Bailey Ave, Suite 2-1, South Haven, MI 49090-9701 2006-07-12
1336120427 Brice J Miller Physician Assistant 955 S Bailey Ave, South Haven, MI 49090-6743 2005-11-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164022331 Anna Lynn Shrift Physician Assistant 849 Black Hill Ln, Traverse City, MI 49696-8674 2020-10-27
1972102556 Aaron Buckley Physician Assistant 567 Saint Louis St, Ferndale, MI 48220-2436 2020-10-23
1013516194 Rebecca Mary Cronin Physician Assistant 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 2020-10-20
1801495023 Keriah Khairi Abd Physician Assistant 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 2020-10-19
1154929016 Angela Varghese Physician Assistant 461 Tanner Dr, Troy, MI 48085-4714 2020-10-13
1861090730 Maloree Blayke Perkins Physician Assistant 20717 Coventry St, Clinton Twp, MI 48035-1603 2020-10-13
1801494000 Sarah Puchala Lucero Physician Assistant 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 2020-10-12
1871191007 Julia Marie Tucker Physician Assistant 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 2020-10-10
1164020301 Sara Whitneyann Vandeman Physician Assistant 7901 S 12th St Ste 101, Portage, MI 49024-3831 2020-10-10
1831796267 Jowharh Zindani Physician Assistant 12020 Mitchell St, Hamtramck, MI 48212-2722 2020-10-08
Find all providers with the same taxonomy

Competitor

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City SOUTH HAVEN
Zip Code 49090

Improve Information

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Dataset Information

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.

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