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ASCENSION BORGESS LEE HOSPITAL NPI 1194717504


NPI Information

NPI: 1194717504
Provider Name: ASCENSION BORGESS LEE HOSPITAL

Doing Business As: BORGESS LEE MEDICAL GROUP

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D0377684

Address:
520 MAIN ST STE A
DOWAGIAC, MI
ZIP 49047
Phone: (269) 783-3052
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ASCENSION BORGESS LEE HOSPITAL is a rural health clinic center in Dowagiac, MI. ASCENSION BORGESS LEE HOSPITAL NPI is 1194717504. The provider is registered as an organization entity type.
The provider Is Doing Business As Borgess Lee Medical Group.

The provider's business location address is:

520 MAIN ST STE A
DOWAGIAC, MI
ZIP 49047-762
Phone: (269) 783-3052

The provider's authorized official is Marina Houghton .
The authorized official title is Cfo and has the following contact phone number (269) 226-4800.

The CLIA number assigned to this NPI record is 23D0377684 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 12/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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