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DSH230017M BRONSON METHODIST HOSPITAL (Active)
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Main Details
Name
BRONSON METHODIST HOSPITAL
Subdivision Name
BRONSON UROLOGY AND CONTINENCE SPECIALISTS JOHN ST
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230017M
Medicare Provider Number
230017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/6/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/24/2020
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-318
KALAMAZOO, MI 49007-5359
Billing Address
BRONSON ACCOUNTS PAYABLE
P.O. BOX 4001
KALAMAZOO, MI 49003
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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