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BRONSON LAKEVIEW HOSPITAL NPI 1376767285


NPI Information

NPI: 1376767285
Provider Name: BRONSON LAKEVIEW HOSPITAL

Doing Business As: BRONSON LAKEVIEW FAMILY CARE-DECATUR

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0377660

Address:
319 W DELAWARE ST
DECATUR, MI
ZIP 49045
Phone: (269) 423-7028
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BRONSON LAKEVIEW HOSPITAL is a rural health clinic center in Decatur, MI. BRONSON LAKEVIEW HOSPITAL NPI is 1376767285. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bronson Lakeview Family Care-decatur.

The provider's business location address is:

319 W DELAWARE ST
DECATUR, MI
ZIP 49045-106
Phone: (269) 423-7028
Fax: (269) 423-8282

The provider's authorized official is Rebecca East .
The authorized official title is Svp, Cfo and has the following contact phone number (269) 341-6000.

The CLIA number assigned to this NPI record is 23D0377660 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 11/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2282NR1301XGeneral Acute Care HospitalRural80-0041MICHIGANNo
3261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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