NPIMap

Organization Active NPI

Ascension Borgess Allegan Hospital

Doing business as Fennville Medical Center

  • Rural Health Clinic/Center
  • Fennville, MI
National Provider Identifier
1861979502
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ASCENSION BORGESS ALLEGAN HOSPITAL
Doing business as
Fennville Medical Center
Practice address
200 N Maple St
Fennville, MI 49408-8478
Phone
(269) 561-8761
Fax
(269) 686-5438
NPI assigned
Jul 25, 2018
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

200 N Maple St
Fennville, MI 49408-8478

Mailing address

1717 Shaffer Street, Suite 002
Kalamazoo, MI 49048

Other names 1

  • Fennville Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000998 MI Part B Supplier - Clinic/Group Practice 5092750356 Receives reassigned benefits from 50 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Otsego, MI; Gobles, MI; Fennville, MI; Allegan, MI

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Beacon Allegan Inc

    dba Ascension Borgess Allegan Hospital Outpatient Clinic

    • Multi-Specialty Clinic/Center
    • Allegan, MI
    • NPI 1144531252

    Member Of

    NPD member

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1861979502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER STREET, SUITE 002",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49048",
            "fax_number": "269-552-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAPLE ST",
            "city": "FENNVILLE",
            "state": "MI",
            "postal_code": "494088478",
            "telephone_number": "269-561-8761",
            "fax_number": "269-686-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION BORGESS ALLEGAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fennville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fennville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.