Bronson South Haven Hospital
NPI 1174749170ActiveOrganization· Family Medicine· South Haven, MI
Family Medicine in South Haven, Michigan, registered in NPPES in April 2007. The authorized official on file is Rebecca L. East, Svp, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174749170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2007 |
| Last updated in NPPES | Nov 27, 2023 |
| Certified by provider | Sep 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 1060000042 | MI |
| Internal Medicine | 207R00000X | — | — |
| Clinic/Center, Urgent Care | 261QU0200X | — | — |
| General Acute Care Hospital | 282N00000X | 800020 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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