# BORGESS LEE MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1619039682
- **Authorized official:** JOHN RYDER (COO)
- **Authorized official phone:** (269) 783-3080

## Contact information

- **Practice address:** 117 S BROADWAY STREET, CASSOPOLIS, MI 49031-1242
- **Practice address phone:** (269) 445-0771
- **Practice address fax:** (269) 445-0939
- **Mailing address:** 420 WEST HIGH STREET, DOWAGIAC, MI 49047-1943
- **Mailing address phone:** (269) 783-3089
- **Mailing address fax:** (269) 783-3097

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 04/29/2016