NPIMap

Organization Active NPI

Beacon Allegan Inc

Doing business as Beacon Allegan

  • Medicare Defined Swing Bed Hospital Unit
  • Allegan, MI
National Provider Identifier
1912501529
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
BEACON ALLEGAN INC
Doing business as
Beacon Allegan
Practice address
555 Linn St
Allegan, MI 49010-1524
Phone
(269) 673-8424
NPI assigned
Nov 24, 2020
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Irene Maffetone
Title
Manager Contracting and Payor Relat
Phone
(574) 647-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

555 Linn St
Allegan, MI 49010-1524

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other identifiers 2

IdentifierTypeStateIssuer
23-1328OtherCMS CERTIFICATION NUMBER
1912501529MedicaidMI

Other names 2

  • Beacon Allegan Doing business as
  • Allegan Hospital Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220526001120 MI Part A Provider - Critical Access Hospital 5092750356 Practice locations: Allegan, MI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1912501529. Details of each certification follow.

Hospital certification: CCN 23Z328

Legal name
ASCENSION BORGESS ALLEGAN HOSPITAL
Doing business as
BEACON ALLEGAN
Organization structure
CorporationNon-profit
Enrollment address
555 Linn St
Allegan, MI 49010-1524
Hospital Swing-Bed Unit

Hospital certification: CCN 230042

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ALLEGAN GENERAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Oct 18, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 3, 1987
Beds
54
Ownership / control type
Other
Facility address
555 Linn St
Allegan, MI 49010

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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 EmployeeSenior Contracting Specialist Jul 1, 2025
Beacon Health System Inc Organization, South Bend, IN Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2025 100%
Operational/Managerial Control Jul 1, 2025 100%
Jeffrey P Costello Individual Corporate OfficerCfo Jul 1, 2025
W-2 Managing Employee Jul 1, 2025

Facilities with the same owner 21

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

View all 21

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1912501529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "fax_number": "574-647-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101524",
            "telephone_number": "269-673-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ALLEGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "MAFFETONE",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "MANAGER CONTRACTING AND PAYOR RELAT",
        "authorized_official_telephone_number": "574-647-1040"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "23-1328",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912501529",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Allegan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allegan Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.