| Organization Name: | BORGESS LEE MEMORIAL HOSPITAL |
| NPI Number: | 1124182811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN RYDER (COO) |
| Mailing Address: | 520 Main St Dowagiac |
| State: | MI US |
| Postal Code: | 490471762 |
| Phone Number: | 2697833052 |
| Fax Number: | 2697832063 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | SFE1414003186 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |