Organization
ASCENSION BORGESS ALLEGAN HOSPITAL
Active
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) 686-4051
(269) 686-4236
Mailing address
1717 SHAFFER STREET, SUITE 002, KALAMAZOO, MI 49048
(269) 552-2964
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430Z36149
BLUE CARE NETWORK
MI
Enumeration date
07/22/2008
Last updated
05/31/2023
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