Organization
ALLEGAN PROFESSIONAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HASSING (BUSINESS OFFICE SUPERVISOR)
(269) 686-5802
Entity
Organization
Contact information
Practice address
551 LINN ST, SUITE 150, ALLEGAN, MI 49010
(269) 686-5800
(269) 686-5899
Mailing address
551 LINN ST, SUITE 150, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5899
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700Z310580
BLUE CROSS BLUE SHEILD
MI
01
—
DF3887
RAILROAD MEDICARE
—
Enumeration date
12/14/2006
Last updated
07/31/2018
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