Provider Demographics
NPI: | 1093119638 |
---|---|
Name: | BRONSON BATTLE CREEK HOSPITAL |
Entity Type: | Organization |
Organization Name: | BRONSON BATTLE CREEK HOSPITAL |
Other - Org Name: | BRONSON MEDICAL GROUP |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | SVP, CFO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | REBECCA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | EAST |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 269-341-6000 |
Mailing Address - Street 1: | 300 NORTH AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | BATTLE CREEK |
Mailing Address - State: | MI |
Mailing Address - Zip Code: | 49017-3307 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 269-245-8000 |
Mailing Address - Fax: | 269-245-5781 |
Practice Address - Street 1: | 601 JOHN ST |
Practice Address - Street 2: | BOX 42 |
Practice Address - City: | KALAMAZOO |
Practice Address - State: | MI |
Practice Address - Zip Code: | 49007-5341 |
Practice Address - Country: | US |
Practice Address - Phone: | 269-341-8419 |
Practice Address - Fax: | 269-341-8743 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | BRONSON BATTLE CREEK HOSPITAL |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2014-10-10 |
Last Update Date: | 2023-11-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207PE0004X | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services | Group - Multi-Specialty |
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
No | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Multi-Specialty |
No | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Multi-Specialty |
No | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Multi-Specialty |
No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
No | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | Group - Multi-Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Group - Multi-Specialty | |
No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
No | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Group - Multi-Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |