Healthcare Provider Details

I. General information

NPI: 1235047754
Provider Name (Legal Business Name): SOUTHWEST BRIDGE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST MAIN STREET
BENTIN HARBOR MI
49022
US

IV. Provider business mailing address

100 WEST MAIN STREET
BENTIN HARBOR MI
49022
US

V. Phone/Fax

Practice location:
  • Phone: 269-519-6983
  • Fax: 269-519-6603
Mailing address:
  • Phone: 269-519-6983
  • Fax: 269-519-6603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LISA MARIE FINK
Title or Position: EXECUTIVE DIRECTOR/CHIEF MEDICAL OF
Credential: M.D.
Phone: 269-519-6983