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PORTAGE HEALTH INC. NPI 1386970481


NPI Information

NPI: 1386970481
Provider Name: PORTAGE HEALTH INC.

Doing Business As: PORTAGE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
945 9TH ST
LAKE LINDEN, MI
ZIP 49945
Phone: (906) 483-1030
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PORTAGE HEALTH INC. is a family medicine in Lake Linden, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PORTAGE HEALTH INC. NPI is 1386970481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Portage Medical Group.

The provider's business location address is:

945 9TH ST
LAKE LINDEN, MI
ZIP 49945-100
Phone: (906) 483-1030
Fax: (906) 296-0521

The provider's authorized official is James Bogan .
The authorized official title is Ceo and has the following contact phone number (906) 483-1500.

The enumeration date for this NPI number is 10/23/2009 and was last updated on 10/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10C16002MEDICARE PINMICHIGAN
2700C16002OTHERMICHIGANBCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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