Provider Demographics
NPI:1497882153
Name:ASCENSION BORGESS ALLEGAN HOSPITAL
Entity Type:Organization
Organization Name:ASCENSION BORGESS ALLEGAN HOSPITAL
Other - Org Name:ALLEGAN HOMECARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-570-5704
Mailing Address - Street 1:570 LINN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-1563
Mailing Address - Country:US
Mailing Address - Phone:269-686-4293
Mailing Address - Fax:269-686-4342
Practice Address - Street 1:570 LINN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-1563
Practice Address - Country:US
Practice Address - Phone:269-686-4293
Practice Address - Fax:269-686-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4074316Medicaid
MIOE169OtherBLUE CROSS BLUE SHIELD
MI4074316Medicaid