Healthcare Provider Details

I. General information

NPI: 1831116441
Provider Name (Legal Business Name): BRONSON METHODIST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 11/27/2023
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 JOHN ST
KALAMAZOO MI
49007-5341
US

IV. Provider business mailing address

301 JOHN ST BOX 42
KALAMAZOO MI
49007-5295
US

V. Phone/Fax

Practice location:
  • Phone: 269-341-7806
  • Fax: 269-341-8743
Mailing address:
  • Phone: 269-341-7806
  • Fax: 269-341-8743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number390020
License Number StateMI

VIII. Authorized Official

Name: REBECCA EAST
Title or Position: SVP, CFO
Credential:
Phone: 269-341-6000