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Organization

ASCENSION BORGESS ALLEGAN HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARINA HOUGHTON (CFO)
(269) 226-4800
Entity
Organization

Contact information

Practice address
555 LINN ST, ALLEGAN, MI 49010-1524
(269) 686-4051
(269) 686-4236
Mailing address
1717 SHAFER STREET, SUITE 002, KALAMAZOO, MI 49048
(269) 552-2964

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
030032
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00117
BLUE CROSS
MI
05
01411552
KY
05
024464
AZ
05
0273314
OH
05
091971300
FL
05
100033860A
IN
05
113396105
AR
05
11521B
SC
01
231328
HUMANA
MI
05
301558020
MI
05
405170030
MI
05
638850700
MN
05
807082900
ID
05
ALL0042N
AL
Enumeration date
11/30/2006
Last updated
05/31/2023
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