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Organization
BORGESS LEE MEMORIAL HOSPITAL
Active
Organization
BORGESS LEE MEMORIAL HOSPITAL
Active
Other names
Borgess Lee Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RYDER (COO)
(269) 783-3080
Entity
Organization
Contact information
Practice address
117 S BROADWAY STREET, CASSOPOLIS, MI 49031-1242
(269) 445-0771
(269) 445-0939
Mailing address
420 WEST HIGH STREET, DOWAGIAC, MI 49047-1943
(269) 783-3089
(269) 783-3097
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
SFE1414003186
MI
261QR1300X
Rural Health Clinic/Center
Primary
—
MI
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
12/15/2006
Last updated
04/29/2016
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