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PORTAGE PHYSICIAN PRACTICES INC NPI 1619304615


NPI Information

NPI: 1619304615
Provider Name: PORTAGE PHYSICIAN PRACTICES INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D2077798

Address:
600 MACINNES DR
HOUGHTON, MI
ZIP 49931
Phone: (906) 483-1860
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PORTAGE PHYSICIAN PRACTICES INC is a rural health clinic center in Houghton, MI. PORTAGE PHYSICIAN PRACTICES INC NPI is 1619304615. The provider is registered as an organization entity type.

The provider's business location address is:

600 MACINNES DR
HOUGHTON, MI
ZIP 49931-144
Phone: (906) 483-1860
Fax: (906) 483-1815

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The CLIA number assigned to this NPI record is 23D2077798 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 2/7/2023.


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
1261QR1300XClinic/CenterRural HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.