NPIMap

Organization Active NPI

Ascension Borgess Lee Hospital

  • Critical Access Hospital
  • Dowagiac, MI
National Provider Identifier
1194771030
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1060000082 Issued in MI
Legal business name
ASCENSION BORGESS LEE HOSPITAL
Practice address
420 West High Street
Dowagiac, MI 49047-1943
Phone
(269) 782-8681
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marina Houghton
Title
Cfo
Phone
(269) 226-4800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Critical Access Hospital 282NC0060X SFE1414003186 MI
Critical Access Hospital 282NC0060X 1060000082 MI Primary

Addresses

Primary practice location

420 West High Street
Dowagiac, MI 49047-1943

Mailing address

1717 Shaffer Street
Suite 002
Kalamazoo, MI 49048
Phone (269) 552-2830

Other identifiers 2

IdentifierTypeStateIssuer
5171083MedicaidMI
1555987MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060228000470 MI Part B Supplier - Clinic/Group Practice 7719881002 Receives reassigned benefits from 84 practitioners
1 other NPI on this enrollment
Practice locations: Dowagiac, MI
O20080304000173 MI Part A Provider - Critical Access Hospital 7719881002 Receives reassigned benefits from 139 practitioners
Practice locations: Dowagiac, MI
O20220525000179 MI Part A Provider - Critical Access Hospital 7719881002 Practice locations: Dowagiac, MI

Hospital certification: CCN 231315

Legal name
ASCENSION BORGESS LEE HOSPITAL
Doing business as
BEACON DOWAGIAC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2002
Last certification
Apr 17, 2019
Beds
25
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
420 W High St
Dowagiac, MI 49047-1943
Other Hospital Practice Location

Hospital certification: CCN 23Z315

Legal name
ASCENSION BORGESS LEE HOSPITAL
Doing business as
BEACON DOWAGIAC
Organization structure
CorporationNon-profit
Enrollment address
420 W High St
Dowagiac, MI 49047-1943
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Ascension Borgess Lee HospitalCCN 231315
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

3180 Solutions Ctr
Chicago, IL 60677

515 Main St
Dowagiac, MI 49047
Phone (269) 782-2273

520 Main St
Ste 1
Dowagiac, MI 49047

520 Main St
Ste C
Dowagiac, MI 49047
Phone (268) 783-2080

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Irene Maffetone Individual W-2 Managing Employee Jul 1, 2025
W-2 Managing EmployeeSenior Contracting Specialist Jul 1, 2025
Beacon Health System Inc Organization, South Bend, IN Corporation, Non-profit Operational/Managerial Control Jul 1, 2025
Jeffrey P Costello Individual W-2 Managing Employee Jul 1, 2025
Operational/Managerial Control Jul 1, 2025
Corporate DirectorCfo Jul 1, 2025
Ascension Michigan Organization, Warren, MI Non-profit Operational/Managerial Control Jul 1, 2019
Paul Hoffman Individual W-2 Managing EmployeeAd; Jul 1, 2025

Facilities with the same owner 27

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 27

Practitioners & affiliated clinicians

Practitioners 257

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 257

Affiliated clinicians 75

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 75

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1194771030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER STREET",
            "address_2": "SUITE 002",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "telephone_number": "269-552-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WEST HIGH STREET",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471943",
            "telephone_number": "269-782-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION BORGESS LEE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "HOUGHTON",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "269-226-4800"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "SFE1414003186",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "1060000082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5171083",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555987",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

Verify at the official NPI Registry.