Organization
COUNTY OF ALLEGAN
Active
Parent organization
COUNTY OF ALLEGAN
Other names
Allegan County Medical Care Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF ALLEGAN
Authorized official
MR. KIMBERLY TURCOTT NHA (ADMINISTRATOR)
(269) 673-2102
Entity
Organization
Contact information
Practice address
3265 122ND AVE, ALLEGAN, MI 49010-9511
(269) 673-2102
(269) 673-6199
Mailing address
3265 122ND AVE, ALLEGAN, MI 49010-9511
(269) 673-2102
(269) 673-6199
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
038510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09517
BCBS PROVIDER NUMBER
MI
05
—
2085132
—
MI
Enumeration date
05/24/2005
Last updated
01/16/2017
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