Bronson Fastcare South Haven

LBN: Bronson South Haven Hospital
Bronson Fastcare South Haven is an health care organization with primary practice located at 970 S Bailey Ave , South Haven MI 49090. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty. Bronson South Haven Hospital can be contacted via phone (269) 639-2916, or through East, Rebecca via phone (269) 341-6000.

Contact Information

Primary practice address
970 S Bailey Ave South Haven MI 49090
Phone: (269) 639-2916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: East, Rebecca
Phone: (269) 341-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1790261832
LBN Legal business name Bronson South Haven Hospital
DBA Doing business as Bronson Fastcare South Haven
Authorized official East, Rebecca
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 12th, 2018
Last updated Nov 27th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790261832 NPPES
Michigan MEDICAID 5171922

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