Provider Demographics
NPI:1750868493
Name:ASCENSION BORGESS ALLEGAN HOSPITAL
Entity Type:Organization
Organization Name:ASCENSION BORGESS ALLEGAN HOSPITAL
Other - Org Name:OTSEGO MEDICAL CENTER
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 1:551 LINN ST STE 150
Mailing Address - Street 2:
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-1591
Mailing Address - Country:US
Mailing Address - Phone:269-694-9640
Mailing Address - Fax:269-694-9648
Practice Address - Street 1:900 DIX ST
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-1563
Practice Address - Country:US
Practice Address - Phone:269-694-9640
Practice Address - Fax:269-694-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health