Organization
BORGESS LEE MEMORIAL HOSPITAL
Active
Other names
Borgess Lee Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RYDER (COO)
(269) 783-3080
Entity
Organization
Contact information
Practice address
117 S BROADWAY STREET, CASSOPOLIS, MI 49031-1242
(269) 445-0771
(269) 445-0939
Mailing address
420 WEST HIGH STREET, DOWAGIAC, MI 49047-1943
(269) 783-3089
(269) 783-3097
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
SFE1414003186
MI
261QR1300X
Rural Health Clinic/Center
Primary
—
MI
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
12/15/2006
Last updated
04/29/2016
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