PORTAGE HEALTH INC (NPI# 1013247972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013247972 |
| Entity Type | Organization |
| Organization Name | PORTAGE HEALTH INC |
| Other Organization Name | PORTAGE HEALTH EXPRESS CARE |
| Practice Address |
921 W Sharon Ave. Houghton MI 49931 |
| Practice Telephone | 9064831000 |
| Mailing Telephone | 9064831000 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2010-04-06 |
| Authorized Official Name | MR. JAMES BOGAN (CEO) |
| Authorized Official Telephone | 9064831500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 310020 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PORTAGE HEALTH EXPRESS CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306958491 | Portage Health Inc | Skilled Nursing Facility | 520 Campus Dr, Hancock, MI 49930-1569 | 2006-08-31 |
| 1215931068 | Portage Health Inc | Emergency Medicine | 500 Campus Dr, Hancock, MI 49930-1569 | 2005-06-09 |
| 1730202276 | Portage Health Inc | Hospice Care, Community Based | 500 Campus Dr, Hancock, MI 49930-1569 | 2007-04-09 |
| 1114052099 | Portage Health Inc | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2007-02-22 |
| 1649316142 | Portage Health Inc | Home Health | 500 Campus Dr, Hancock, MI 49930 | 2007-01-30 |
| 1184786188 | Portage Health Inc | Clinic/Center | 500 Campus Dr, Hancock, MI 49930-1569 | 2006-12-15 |
| Street Address |
921 W SHARON AVE. |
| City | HOUGHTON |
| State | MI |
| Zip Code | 49931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053447 | Meghan Lawler Immel | Counselor | 47431 St. Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-09-25 |
| 1205495710 | Public Counseling Services, LLC | Counselor | 47431 Hwy M26 Unit 1, Suite 2, Houghton, MI 49931 | 2019-06-08 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1487150165 | Taylor Lee Douglas | Optometrist | 900 W Mem Dr, Houghton, MI 49931 | 2018-04-02 |
| 1033640867 | Larry Binoniemi | Pharmacist | 995 Razoback Dr, Houghton, MI 49931 | 2017-03-23 |
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
| 1306027057 | Gary Kilpela | Psychologist | 301 West Lake Ave., Suite 2, Houghton, MI 49931 | 2007-11-23 |
| 1811186455 | Baraga-houghton-keweenaw Child Development Board | Public Health or Welfare | 700 Park Avenue, Houghton, MI 49931 | 2007-10-19 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1417080813 | Western Upper Peninsula Substance Abuse Services Coordinating Agency | Case Management | 902 West Sharon Ave., Houghton, MI 49931 | 2007-03-14 |
| Find all providers in zip 49931 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508001629 | Aspirus Keweenaw | General Practice | 900 Memorial Drive, Houghton, MI 49931 | 2008-12-03 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.