Organization
BORGESS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SPAUDE FACHE (CEO)
(269) 226-4800
Entity
Organization
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Mailing address
1521 GULL RD, KALAMAZOO, MI 49048-1640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M86380
MEDICARE, OTHER
MI
01
—
500C91066
BCBSM
—
Enumeration date
07/21/2006
Last updated
02/22/2008
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