PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH (NPI# 1104157064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104157064 |
| Entity Type | Organization |
| Organization Name | PORTAGE HEALTH CENTER OCCUPATIONAL HEALTH |
| Practice Address |
3545 Arbor Blvd Portage IN 46368-4297 |
| Practice Telephone | 2197594604 |
| Practice Fax Number | 2197594604 |
| Mailing Telephone | 2197594604 |
| Mailing Fax Number | 2197594604 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |
| Authorized Official Name | MR. JAMES HILBURGER (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 2193927064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
3545 ARBOR BLVD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162425 | Travis Haldeman | Obstetrics & Gynecology | 3545 Arbor Blvd, Portage, IN 46368-4298 | 2006-05-18 |
| 1861852758 | Meghan Goranson | Physical Therapy Assistant | 3545 Arbor Blvd, Portage, IN 46368-4298 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
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| 1811335227 | Eli Lilly and Company Employee Health | Clinic/Center | 893 S Delaware St, Lilly Corporate Center, Indianapolis, IN 46225-1782 | 2013-06-07 |
| 1699111468 | Cota | Clinic/Center | 2609 Calumet Ave, Dyer, IN 46311-1963 | 2013-05-20 |
| 1205133360 | Associated Physicians of Indiana LLC | Clinic/Center | 3051 S Us Highway 41, Terre Haute, IN 47802-3791 | 2011-02-24 |
| 1346572823 | Community Rehab Services South Park | Clinic/Center | 98 S Park Blvd, Greenwood, IN 46143-8836 | 2010-02-08 |
| 1407188980 | Community Rehab Services County Line Road | Clinic/Center | 1340 E County Line Rd, Suite U, Indianapolis, IN 46227-0874 | 2010-02-08 |
| 1972834067 | Workplace Health Services | Clinic/Center | 4850 Century Plaza Rd Ste 140, Indianapolis, IN 46254-5478 | 2010-01-29 |
| 1992994362 | Minds In Motion, Inc | Clinic/Center | 4343 Security Pkwy, Sigs Sportplex, New Albany, IN 47150-9374 | 2007-10-22 |
| 1144434473 | St Mary's Medical Center of Evansville, Inc | Clinic/Center | 14020 Old State Rd, Evansville, IN 47725-1121 | 2007-05-09 |
| 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.