# BEACON DOWAGIAC INC

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

## Provider details

- **NPI number:** 1194717504
- **Authorized official:** IRENE MAFFETONE (MANAGER CONTRACTING AND PAYOR RELAT)
- **Authorized official phone:** (574) 647-1040

## Contact information

- **Practice address:** 420 W HIGH ST, DOWAGIAC, MI 49047-1943
- **Practice address phone:** (269) 783-3052
- **Mailing address:** 3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
- **Mailing address fax:** (574) 647-1821

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 10/09/2026