NPIMap

Organization Active NPI

Bronson Battle Creek Hospital

Doing business as Bronson Battle Creek Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Battle Creek, MI
National Provider Identifier
1740351907
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006727 Issued in MI
Legal business name
BRONSON BATTLE CREEK HOSPITAL
Doing business as
Bronson Battle Creek Outpatient Pharmacy
Practice address
363 Fremont St Suite 111
Battle Creek, MI 49017
Phone
(269) 245-8646
Fax
(269) 245-8648
NPI assigned
Nov 10, 2006
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 5301006727 MI Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

363 Fremont St Suite 111
Battle Creek, MI 49017

Mailing address

363 Fremont St Suite 111
Battle Creek, MI 49017
Phone (269) 245-8646

Other identifiers 1

IdentifierTypeStateIssuer
2357831MedicaidMI

Other names 1

  • Bronson Battle Creek Outpatient Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180518000637 MI DME Supplier - Pharmacy 0547173478 Practice locations: Battle Creek, MI
O20200918001562 MI Part B Supplier - Pharmacy 0547173478 Practice locations: Battle Creek, MI

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bronson Battle Creek Hospital363 Fremont St, Battle Creek, MI 49017-3395(269) 245-8646 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) Accepts assignmentParticipating since Aug 4, 1988

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 organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Locations

2151 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 979-6888

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

300 North Ave
Ste 1400
Battle Creek, MI 49017
Phone (269) 245-8590

36 Manchester St W
Battle Creek, MI 49037
Phone (269) 245-3900

3600 Capital Ave SW
Ste 206
Battle Creek, MI 49015
Phone (269) 969-6161

363 Fremont St
Ste 111
Battle Creek, MI 49017
Phone (269) 245-8646

363 Fremont St
Ste 307
Battle Creek, MI 49017
Phone (269) 245-8109

363 Fremont St
Ste 308AB
Battle Creek, MI 49017
Phone (269) 245-5494

363 Fremont St
Ste 309
Battle Creek, MI 49017
Phone (269) 245-8310

363 Fremont St
Ste 311
Battle Creek, MI 49017
Phone (269) 788-6887

391 S Shore Dr
Ste 216
Battle Creek, MI 49014
Phone (269) 969-6294

5161 B Dr S
#C
Battle Creek, MI 49015
Phone (269) 441-9082

Practitioners & affiliated clinicians

Practitioners 512

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 512

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1740351907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST SUITE 111",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49017",
            "telephone_number": "269-245-8646",
            "fax_number": "269-245-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST SUITE 111",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49017",
            "telephone_number": "269-245-8646",
            "fax_number": "269-245-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONSON BATTLE CREEK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "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"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006727",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357831",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "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": [
        {
            "organization_name": "Bronson Battle Creek Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.