Borgess Lee Memorial Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BORGESS LEE MEMORIAL HOSPITAL

Doing business as

Borgess Lee Medical Group

Practice address

117 S Broadway Street
Cassopolis, MI 49031-1242

Phone

(269) 445-0771

Fax

(269) 445-0939

NPI assigned

Dec 15, 2006

Last updated

Apr 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Ryder

Title

Coo

Phone

(269) 783-3080

Specialties & licenses 3

Addresses

Other names 1

• Borgess Lee Medical Group Doing business as

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1619039682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WEST HIGH STREET",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471943",
            "telephone_number": "269-783-3089",
            "fax_number": "269-783-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BROADWAY STREET",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311242",
            "telephone_number": "269-445-0771",
            "fax_number": "269-445-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORGESS LEE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "269-783-3080"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": "SFE1414003186",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borgess Lee Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alina Anna Bejoy
• Bethany Belock, DVM
• Bergman Veterinary Hospital
• S. Star Bontrager
• Borgess Lee Memorial Hospital (Borgess Lee Memorial Medical Group)
• Marcee Eileen Bowen, LBSW
• Neil Bowman
• Debra L Braden, RN
• Broadway Dental Center (Smile Center)
• Rachal Brooks

• Rural Health Clinic/Center in Cassopolis, MI
• Providers in Cassopolis, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.