# LEE MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Borgess Lee Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174688089
- **Authorized official:** KEN HOLST (CFO)
- **Authorized official phone:** (269) 783-3034

## Contact information

- **Practice address:** 420 W HIGH ST, DOWAGIAC, MI 49047-1943
- **Practice address phone:** (269) 782-9200
- **Mailing address:** 420 W HIGH ST, DOWAGIAC, MI 49047-1943
- **Mailing address phone:** (269) 783-3089
- **Mailing address fax:** (269) 783-3087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | SFE1414003186 | MI | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 04/17/2008