NPIMap

Organization Active NPI

Bronson Battle Creek Hospital

  • General Acute Care Hospital
  • Battle Creek, MI
National Provider Identifier
1083644579
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
130031 Issued in MI
Legal business name
BRONSON BATTLE CREEK HOSPITAL
Practice address
300 North Ave
Battle Creek, MI 49017-3307
Phone
(269) 245-8000
NPI assigned
Jul 3, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca East, MD
Title
SVP, Cfo
Phone
(269) 341-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 130031 MI Primary

Addresses

Primary practice location

300 North Ave
Battle Creek, MI 49017-3307

Mailing address

601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-7806

Other identifiers 3

IdentifierTypeStateIssuer
5170380MedicaidMI
1556563MedicaidMI
00014OtherMIBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071210000679 MI Part A Provider - Hospital 0547173478 Practice locations: Battle Creek, MI; Marshall, MI; Battle Cfreek, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083644579. Details of each certification follow.

Hospital certification: CCN 230075

Legal name
BRONSON BATTLE CREEK HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1976
Last certification
Jan 8, 2009
Beds
204
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 1988 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 2011 in MI
Enrollment address
300 North Ave
Battle Creek, MI 49017-3307
Opt Extension Site
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Bronson Battle Creek HospitalCCN 230075 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Battle Creek Hlthsys8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 32

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bill Harold Manns Individual Corporate OfficerPresident & Ceo Jan 1, 2020
William B Workman Individual Corporate DirectorChief of Staff Jul 1, 2022
Mike Way Individual Corporate OfficerSVP Jan 1, 1986
Martinson Kweku Arnan Individual Corporate OfficerChief Physician Executive Jan 1, 2019
W-2 Managing EmployeeChief Physician Executive Jan 1, 2019
Rebecca East Individual Corporate Officer Jun 1, 2015
W-2 Managing EmployeeSVP, Cfo Jun 1, 2015
Michael F Odar Individual Corporate DirectorDirector Jul 1, 2016
Steven J Lins Individual Corporate Director Feb 1, 2006
Erick Stewart Individual Corporate Director Nov 1, 2022
Katharine Hermsen Individual Corporate Director Jan 1, 2025
Susan Reinoehl Individual Corporate OfficerSVP, Cso Jan 1, 1995
Robert M Nicholson Individual Corporate Director Jul 1, 2024
James L Liggins Individual Corporate Director Dec 1, 2016
Cheryl Johnson Individual Corporate OfficerSVP, Cpo Jan 1, 2021
Leigh Ann Colegrove Individual W-2 Managing EmployeeSystem Credentialing Coordinator Oct 11, 2021
Lynn Chen-Zhang Individual Corporate Director Nov 1, 2022
Jorge Gonzalez Individual Corporate DirectorDirector Jan 1, 2018
Namita Sharma Individual Corporate Director Nov 1, 2022
Richard J Allen Individual Corporate DirectorDirector Jan 1, 2017
Kellie Hoffman Individual Corporate Director Jan 1, 2025
Genevieve Coleman Individual Corporate Director Jan 1, 2025
Bronson Health Care Group Inc Organization, Kalamazoo, MI Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2011 100%
Operational/Managerial Control Jul 1, 2011
Rachel Worgess Individual Corporate Director Jan 1, 2025
Scott C Gibson Individual Corporate Director Jul 1, 2011
Luther Marshall Washington Individual Corporate Director Nov 1, 2022
Randall W. Eberts Individual Corporate Director Jul 1, 2011
Grace Lubwama Individual Corporate Director Jan 1, 2025
Kimberly Hatchel Individual Corporate OfficerSVP, Coo Oct 1, 2022
Brenda L Hunt Individual Corporate Director Jul 1, 2011
Donald R. Parfet Individual Corporate Director Jul 1, 2011
James B Falahee Individual Corporate OfficerSVP, Legal & Legislative Affairs Jun 1, 2014
W-2 Managing EmployeeSVP Legal&Legislative Affair,Clo Jun 1, 2014
Neil Nyberg Individual Corporate Director Sep 1, 1999
Nelson Karre Individual Corporate Director Jan 1, 2004

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

Affiliated clinicians 877

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 877

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1083644579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173307",
            "telephone_number": "269-245-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON BATTLE CREEK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SVP, CFO",
        "authorized_official_telephone_number": "269-341-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "130031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5170380",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556563",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00014",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.