| Organization Name: | ALLEGAN PROFESSIONAL HEALTH SERVICES INC |
| NPI Number: | 1134281223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID BEESON (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 551 Linn St Suite 150 Allegan |
| State: | MI US |
| Postal Code: | 490101595 |
| Phone Number: | 2696865800 |
| Fax Number: | 2696865899 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |