Provider Demographics
NPI:1609035971
Name:BRONSON FAMILY HEALTH CENTER AND URGENT CARE PC
Entity Type:Organization
Organization Name:BRONSON FAMILY HEALTH CENTER AND URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SWETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-651-8978
Mailing Address - Street 1:735 E CHICAGO ROAD
Mailing Address - Street 2:
Mailing Address - City:BRONSON
Mailing Address - State:MI
Mailing Address - Zip Code:49028
Mailing Address - Country:US
Mailing Address - Phone:517-369-5203
Mailing Address - Fax:517-369-1409
Practice Address - Street 1:735 E CHICAGO ROAD
Practice Address - Street 2:
Practice Address - City:BRONSON
Practice Address - State:MI
Practice Address - Zip Code:49028
Practice Address - Country:US
Practice Address - Phone:517-369-5203
Practice Address - Fax:517-369-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization