| Bronson Lakeview Hospital | |
|
408 Hazen St Paw Paw MI 49079-1019 | |
| (269) 657-1525 | |
| (269) 657-1474 |
| Full Name | Bronson Lakeview Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 408 Hazen St, Paw Paw, Michigan |
| Authorized Official Name and Position | Rebecca East (SVP, CFO) |
| Authorized Official Contact | 2693416000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronson Lakeview Hospital 601 John St Box 42 Kalamazoo MI 49007-5341 Ph: (269) 341-7806 | Bronson Lakeview Hospital 408 Hazen St Paw Paw MI 49079-1019 Ph: (269) 657-1525 |
| NPI Number | 1750482444 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 9032008495 |
|---|---|
| Medicare Enrollment ID | O20080516000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750482444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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