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NPI Code Detail

MEDICARE: HOSPICE CARE OF SOUTHWEST MICHIGAN

MEDICARE: HOSPICE CARE OF SOUTHWEST MICHIGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
22080H0002XPediatric Hospice and Palliative Medicine Physician
3207QH0002XHospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1518681550
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE CARE OF SOUTHWEST MICHIGAN
Provider Business Mailing Address
First Line : 7100 STADIUM DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-9423
Country : US
Telephone Number : 269-345-0273
Fax Number : 269-345-8522
Provider Business Practice Location Address
First Line : 2255 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-4819
Country : US
Telephone Number : 269-345-0273
Fax Number : 269-345-8522
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : LEE ANN MYERS
Credential :
Telephone Number : 313-578-6244
Provider Enumeration Date : 10/03/2022
Last Update Date : 11/26/2024

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Directions to “HOSPICE CARE OF SOUTHWEST MICHIGAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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