# COUNTY OF ALLEGAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF ALLEGAN
- **Other names:** Allegan County Medical Care Community
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457354268
- **Legal business name:** COUNTY OF ALLEGAN
- **Authorized official:** MR. KIMBERLY TURCOTT NHA (ADMINISTRATOR)
- **Authorized official phone:** (269) 673-2102

## Contact information

- **Practice address:** 3265 122ND AVE, ALLEGAN, MI 49010-9511
- **Practice address phone:** (269) 673-2102
- **Practice address fax:** (269) 673-6199
- **Mailing address:** 3265 122ND AVE, ALLEGAN, MI 49010-9511
- **Mailing address phone:** (269) 673-2102
- **Mailing address fax:** (269) 673-6199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 038510 | MI | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 01/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09517 | BCBS PROVIDER NUMBER | MI |
| 05 | — | 2085132 | — | MI |
