Healthcare Provider Details

I. General information

NPI: 1295803377
Provider Name (Legal Business Name): ASCENSION BORGESS ALLEGAN HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 05/31/2023
Certification Date: 05/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 LINN ST
ALLEGAN MI
49010-1524
US

IV. Provider business mailing address

1717 SHAFER STREET, SUITE 002
KALAMAZOO MI
49048
US

V. Phone/Fax

Practice location:
  • Phone: 269-686-4051
  • Fax: 269-686-4236
Mailing address:
  • Phone:
  • Fax: 269-552-2964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number030032
License Number StateMI

VIII. Authorized Official

Name: MS. MARINA HOUGHTON
Title or Position: CFO
Credential:
Phone: 269-226-4800