PORTAGE HOSPITAL LLC (NPI# 1174950901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174950901 |
| Entity Type | Organization |
| Organization Name | PORTAGE HOSPITAL LLC |
| Other Organization Name | PORTAGE HEALTH HEARING SERVICES |
| Practice Address |
500 Campus Dr Hancock MI 49930-1569 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9064831455 |
| Practice Fax Number | 9064831457 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2014-10-29 |
| Authorized Official Name | JEFFREY G. SERAPHINE (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| Other Name | Type Code |
|---|---|
| Portage Health Hearing Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285061010 | Portage Hospital LLC | Hospice Care, Community Based | 821 W Water St, Hancock, MI 49930-1953 | 2013-10-11 |
| 1134574940 | Portage Hospital LLC | Emergency Response System Companies | 821 W Water St, Hancock, MI 49930-1953 | 2016-04-29 |
| 1073943783 | Portage Hospital LLC | Dietitian, Registered | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-11-15 |
| 1477981124 | Portage Hospital LLC | Home Health | 821 W Water St, Hancock, MI 49930-1953 | 2013-10-16 |
| 1821425612 | Portage Hospital LLC | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1104253921 | Portage Hospital LLC | Skilled Nursing Facility | 520 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1710314547 | Portage Hospital LLC | Durable Medical Equipment & Medical Supplies | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1366879199 | Portage Hospital LLC | Clinic/Center | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1245667229 | Portage Hospital LLC | General Acute Care Hospital | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-04 |
| Street Address |
500 CAMPUS DR |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931068 | Portage Health Inc | Emergency Medicine | 500 Campus Dr, Hancock, MI 49930-1569 | 2005-06-09 |
| 1376182931 | Melissa Sue Meier | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-12-31 |
| 1336786078 | Jeremy Michael Nicoski | Nurse Anesthetist, Certified Registered | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-12-02 |
| 1548805005 | Shana Louise Roth | Dietitian, Registered | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-11-08 |
| 1902365752 | Natalie Sloan Hupp | Physical Therapist | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-03-19 |
| 1891267571 | Jenny Dice | Pharmacist | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-12-19 |
| 1700354149 | Jessie Rae Salo | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-11-04 |
| 1154806206 | Brittany Andrianna Wadaga | Registered Nurse | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-09-25 |
| 1417442898 | Concierge Dermatology & Skin Surgery Center | Dermatology | 500 Campus Dr, Hancock, MI 49930 | 2018-06-27 |
| 1306343918 | Stephanie Bustos | Physical Therapist | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| 1831581164 | Superior Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 20075 Third Street, Hancock, MI 49930 | 2015-02-24 |
| 1861703258 | Superior Smiles | Dentist | 1550 West Quincy St, Hancock, MI 49930 | 2010-06-30 |
| 1164633780 | Kathryn Mary Salmi | Counselor | 100 Quincy Street, Hancock, MI 49930 | 2007-05-25 |
| 1093828535 | Mary Katherine Van Camp | Social Worker | 787 Market St., Suites 9 & 10, Hancock, MI 49930 | 2006-08-17 |
| 1083627392 | Kim Kathleen Green | Social Worker | 787 Market Street, Hancock, MI 49930 | 2006-08-15 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1114951829 | Patricia J Tikkanen | Social Worker | 200 Michigan St Ste 321, Hancock, MI 49930 | 2006-07-10 |
| 1487639829 | Thomas Collins | Social Worker | 920 Water Street, Hancock, MI 49930 | 2005-12-08 |
| Find all providers in zip 49930 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366604084 | Portage Hearing Services | Hearing Aid Equipment | 500 Campus Dr, Hancock, MI 49930-1569 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235629262 | Northland Hearing Center Inc | Hearing Aid Equipment | 600 W Michigan Ave, Saline, MI 48176-7600 | 2018-05-15 |
| 1942663125 | Oswald Hearing Aid Services LLC | Hearing Aid Equipment | 398 S Main St, Ste 1a, Freeland, MI 48623-8899 | 2016-04-04 |
| 1942667316 | Professional Hearing Inc | Hearing Aid Equipment | 1235 S Center Rd Ste 7, Burton, MI 48509-1700 | 2016-01-15 |
| 1598133456 | Suburban Hearing Clinic, Inc. | Hearing Aid Equipment | 20 W Clarkston Rd, Lake Orion, MI 48362-2972 | 2015-09-09 |
| 1699173187 | St Clair Shores Hearing Center | Hearing Aid Equipment | 30128 Harper Ave, Ste 1a, Saint Clair Shores, MI 48082-1662 | 2014-12-15 |
| 1891191813 | Waterford Hearing Center, LLC | Hearing Aid Equipment | 5907 Dixie Hwy, Clarkston, MI 48346-3361 | 2014-11-18 |
| 1609272624 | Dearborn Hearing Center, LLC. | Hearing Aid Equipment | 5003 Schaefer Rd, Dearborn, MI 48126-3252 | 2014-11-18 |
| 1154723211 | Premier Solutions, Inc. | Hearing Aid Equipment | 21477 21 Mile Rd, Macomb, MI 48044-2963 | 2014-09-20 |
| 1972905032 | Premier Solutions, Inc. | Hearing Aid Equipment | 35736 Van Dyke Ave, Sterling Heights, MI 48312-3564 | 2014-09-20 |
| 1114345428 | Regents of The University of Michigan | Hearing Aid Equipment | 475 Marketplace, Ann Arbor, MI 48108 | 2014-04-03 |
| 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.