Organization Name: | BRONSON METHODIST HOSPITAL |
NPI Number: | 1013089820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES F FALAHEE (SVP LEGAL AFFAIRS, CLO) |
Mailing Address: | 5121 S Westnedge Ave Portage |
State: | MI US |
Postal Code: | 490020404 |
Phone Number: | 2695524212 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |