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BRONSON LAKEVIEW FAMILY CARE BANGOR
NPI 1104459627
Clinic/Center - Rural Health in Bangor, MI

Active since February 13, 2020CLIA 23D0895434 · Microscopy
520 RAILROAD ST, BANGOR, MI 49013(269) 427-5811(269) 427-6107 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2020, Feb 13, 2020 (2 updates tracked since 2020).

About Bronson Lakeview Family Care Bangor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRONSON LAKEVIEW FAMILY CARE BANGOR (NPI 1104459627) is a healthcare organization registered as a rural health in Bangor, Michigan and active in the NPI registry since February 2020. The organization holds a CLIA Microscopy certificate valid through January 11, 2028 and lists Rebecca East, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104459627
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBRONSON LAKEVIEW HOSPITAL
Location Address520 RAILROAD STBangor, MI 49013-1490
Mailing Address301 John St # 42Kalamazoo, MI 49007-5295 · (269) 341-8536 · Fax (269) 341-8913
Phone(269) 427-5811
Fax(269) 427-6107
Organization SubpartYes
Authorized OfficialRebecca EastCfo · (269) 341-6000
Enumeration DateFebruary 13, 2020
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1104459627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
520 RAILROAD ST, Bangor, MI 49013
Open in Google Maps ↗

Other Names 1

Doing Business AsBronson Lakeview Family Care Bangor

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0895434

Bronson Lakeview Family Care Bangor · Bangor, MI
Active · expires Jan 11, 2028
CLIA Number23D0895434
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorCaralyn K. Dehaan
Laboratory Phone(269) 427-5811
Laboratory LocationBronson Lakeview Family Care Bangor520 Railroad Street, Bangor, MI 49013
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE SMITH PA
Physician Assistant
520 RAILROAD ST
BANGOR, MI 49013
Van Buren County (269) 427-5811
DR. DAVID LYMAN MD
Family Medicine
520 RAILROAD ST
BANGOR, MI 49013
Van Buren County (269) 427-5811
MRS. RHONDA L. SHINAULT P.A.-C
Physician Assistant
520 RAILROAD ST
BANGOR, MI 49013
Van Buren County (269) 427-5811
CARALYN DEHAAN D.O.
Family Medicine
520 RAILROAD ST
BANGOR, MI 49013
Van Buren County (269) 427-5811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bronson Lakeview Hospital's NPI number?

The NPI number for Bronson Lakeview Hospital is 1104459627. It was assigned to this organization in the NPPES registry on February 13, 2020. The provider is doing business as Bronson Lakeview Family Care Bangor.

Where is Bronson Lakeview Hospital located?

Bronson Lakeview Hospital is located at 520 Railroad St, Bangor, MI 49013. The listed phone number is (269) 427-5811.

What is Bronson Lakeview Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Bronson Lakeview Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0895434) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bronson Lakeview Hospital accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Bronson Lakeview Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bronson Lakeview Hospital was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.