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DSH230017G BRONSON METHODIST HOSPITAL (Active)
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Main Details
Name
BRONSON METHODIST HOSPITAL
Subdivision Name
Family Medicine John St
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230017G
Medicare Provider Number
230017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Bronson Healthcare Group
James B. Falahee Jr., Sr. Vice President, Legal & Legislative Affairs
(269) 341-8907
Primary Contact
Bronson Healthcare Group
Troy Shirley, System Director of Pharmacy
(269) 341-8157
Addresses
Street Address
601 JOHN ST
M-020
KALAMAZOO, MI 49007-5381
Billing Address
Bronson Accounts Payable
PO BOX 4001
KALAMAZOO, MI 49003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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