LEE MEMORIAL HOSPITAL CORPORATION NPI 1174688089

NPI Information

NPI: 1174688089
Provider Name: LEE MEMORIAL HOSPITAL CORPORATION

Doing Business As: BORGESS LEE MEDICAL GROUP

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

Specialization: Rural Health

Address:
420 W HIGH ST
DOWAGIAC, MI
ZIP 49047
Phone: (269) 782-9200
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LEE MEMORIAL HOSPITAL CORPORATION is a rural health clinic center in Dowagiac, MI. LEE MEMORIAL HOSPITAL CORPORATION NPI is 1174688089. 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:

420 W HIGH ST
DOWAGIAC, MI
ZIP 49047-943
Phone: (269) 782-9200

The provider's authorized official is Ken Holst .
The authorized official title is Cfo and has the following contact phone number (269) 783-3034.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 4/17/2008.

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
1	261QR1300X	Clinic/Center	Rural Health	SFE1414003186	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	238581	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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

NPI Synchronization or Removal

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