Organization
ASCENSION BORGESS ALLEGAN HOSPITAL
Active
Other names
Ascension Borgess Allegan Hospital Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA HOUGHTON (CFO)
(269) 226-4800
Entity
Organization
Contact information
Practice address
555 LINN ST, ALLEGAN, MI 49010-1524
(269) 673-8424
Mailing address
1717 SHAFFER STREET, SUITE 002, KALAMAZOO, MI 49048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700Z300380
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/24/2010
Last updated
06/12/2023
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