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General NPI Number Information
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NPI Number | 1295803377
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Entity Type | Organization
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Legal Business Name | ASCENSION BORGESS ALLEGAN HOSPITAL
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 555 LINN ST
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City | ALLEGAN
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State | MI
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Zip | 49010-1524
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Country | US
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Telephone | 269-686-4051
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Fax | 269-686-4236
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Provider Business Mailing Address
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Address Line | 1717 SHAFER STREET, SUITE 002
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City | KALAMAZOO
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State | MI
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Zip | 49048
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Country | US
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Telephone |
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Fax | 269-552-2964
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Authorized Official
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Title or Position | CFO
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Name | MS. MARINA HOUGHTON
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Credential |
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Telephone | 269-226-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 030032
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License Number State | MI
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