CARE 1 OF BRONSON (NPI# 1952622086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952622086 |
Entity Type | Organization |
Organization Name | CARE 1 OF BRONSON |
Practice Address |
735 E Chicago Rd Bronson MI 49028-1349 |
Practice Telephone | 5178581400 |
Practice Fax Number | 5178581403 |
Mailing Telephone | 5178581400 |
Mailing Fax Number | 5178581403 |
Enumeration Date | 2010-06-11 |
Last Update Date | 2015-05-07 |
Authorized Official Name | MRS. TYANN R BILLMAN (OWNER/PARTNER) |
Authorized Official Telephone | 5178581400 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
5601003977 | MI | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MEDICARE PTAN | MI4324 | 01 |
MI | BCBSM | 0A20032 | 01 |
Street Address |
735 E CHICAGO RD |
City | BRONSON |
State | MI |
Zip Code | 49028-1349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639129646 | Tyann R Billman | Physician Assistant | 735 E Chicago Rd, Bronson, MI 49028-1349 | 2006-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609035971 | Bronson Family Health Center and Urgent Care PC | Health Maintenance Organization | 735 E Chicago Road, Bronson, MI 49028 | 2008-06-03 |
1285849745 | Quest Health Systems Iv, Pllc | Chiropractor | 646 East Chicago Road, Bronson, MI 49028 | 2007-05-10 |
1558431247 | John Theodore Polzin | Dentist | 195 Division St, Bronson, MI 49028 | 2006-11-09 |
1902324569 | Wendi Carol Paradine | Social Worker | 450 E Grant St, Bronson, MI 49028 | 2017-09-05 |
1306828579 | Tania Lynn Berry | Family Medicine | 197 Division St, Bronson, MI 49028-1213 | 2005-11-15 |
1467826206 | Community Health Center of Branch County | Family Medicine | 197 Division St, Bronson, MI 49028-1213 | 2015-11-17 |
1528616273 | Bronson City Pharmacy LLC | Pharmacy | 625 E Chicago St, Bronson, MI 49028-1322 | 2019-08-27 |
1477801744 | Elevated Health and Performance Chiropractic Center Pllc | Chiropractor | 646 E Chicago St, Bronson, MI 49028-1323 | 2012-08-17 |
1316322571 | Ronald Temple | Chiropractor | 646 E Chicago St, Bronson, MI 49028-1323 | 2015-07-29 |
1598364770 | Jennifer Renae Hilton | Nurse Practitioner | 735 E Chicago St, Bronson, MI 49028-1349 | 2020-10-20 |
Find all providers in zip 49028 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
1861966244 | Progressive Care Medical Group of Mi, Pllc | Clinic/Center | 734 Starkweather Drive, Lansing, MI 48917-1128 | 2019-01-18 |
1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
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.