# ASCENSION BORGESS ALLEGAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fennville Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861979502
- **Authorized official:** MARINA HOUGHTON (CFO)
- **Authorized official phone:** (269) 226-4800

## Contact information

- **Practice address:** 200 N MAPLE ST, FENNVILLE, MI 49408-8478
- **Practice address phone:** (269) 561-8761
- **Practice address fax:** (269) 686-5438
- **Mailing address:** 1717 SHAFFER STREET, SUITE 002, KALAMAZOO, MI 49048
- **Mailing address fax:** (269) 552-2964

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2018
- **Last updated:** 05/31/2023