South Haven Community Health System

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

5601007459 Issued in MI

Legal business name

SOUTH HAVEN COMMUNITY HEALTH SYSTEM

Practice address

955 S Bailey Ave
South Haven, MI 49090-6743

Phone

(269) 637-5271

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Kimberly Wise

Title

HR Director

Phone

(269) 637-2801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1356718761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S BAILEY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490906743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S BAILEY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490906743",
            "telephone_number": "269-637-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAVEN COMMUNITY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "269-637-2801"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "5601007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soma Medical Clinic, LLC
• Alisa A Somers, DPT
• South Coast Home LLC
• South Haven Area Emergency Services Authority
• South Haven Chiropractic Clinic
• South Haven Eyecare Associates
• South Haven Family Physicians, P.C.
• South Haven Opco, LLC (Medilodge of South Haven)
• Southwest Family Footcare Specialist, LLC
• Regina Lynne Spears, D.P.M.

• General Acute Care Hospital in South Haven, MI
• Providers in South Haven, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.