Portage Physician Practices INC.
Family Medicine in Houghton, MI. Organization (NPI-2).
NPI number1679902191
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1679902191
- Entity type
- Organization (NPI-2)
- Legal business name
- Portage Physician Practices INC.
- Organization subpart
- Yes
- Enumeration date
- Nov 5, 2013
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Other names
- Portage Health Express Care (Doing Business As)
Practice location
921 W Sharon AveHoughton, MI 49931-1921
Phone 906-483-1777 · Fax 906-483-4616
Mailing address
921 W Sharon AveHoughton, MI 49931-1921
Phone 906-483-1777 · Fax 906-483-4616
Authorized official
Monica Bowman
President
6159207000
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