PORTAGE HEALTH, INC


Address: 500 Campus Dr, Hancock, MI 49930-1569
Phone: 9064831000

PORTAGE HEALTH, INC (NPI# 1295909620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295909620
Entity Type Organization
Organization Name PORTAGE HEALTH, INC
Practice Address 500 Campus Dr
Hancock
MI 49930-1569
Practice Telephone 9064831000
Mailing Telephone 9064831000
Enumeration Date 2008-04-16
Last Update Date 2013-07-26
Authorized Official Name MR. JAMES BOGAN (PRESIDENT/CEO)
Authorized Official Telephone 9064831500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MI PROFESSIONAL GROUP 0C16002 01
MI BLUE CROSS BLUE SHIELD 540C106010 01
MI 2988984 05

Office Location

Street Address 500 CAMPUS DR
City HANCOCK
State MI
Zip Code 49930-1569

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235315979 Ph Copper Country Apothecaries LLC Durable Medical Equipment & Medical Supplies 894 Campus Dr, Suite A, Hancock, MI 49930-1644 2008-01-11
1073602702 Rite Aid of New York Inc Durable Medical Equipment & Medical Supplies 119 West Main Street, Hancock, NY 13783-1017 2006-10-12
1831613009 Walgreen Co Durable Medical Equipment & Medical Supplies 119 W Main St, Hancock, NY 13783-1017 2017-07-31
1710314547 Portage Hospital LLC Durable Medical Equipment & Medical Supplies 500 Campus Dr, Hancock, MI 49930-1569 2013-10-11
1306883319 Ph Copper Country Apothecaries LLC Durable Medical Equipment & Medical Supplies 500 Campus Dr, Hancock, MI 49930-1452 2006-05-31
1255384178 Ph Copper Country Apothecaries LLC Durable Medical Equipment & Medical Supplies 500 Campus Dr, Hancock, MI 49930-1452 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972103257 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 2020-10-27
1336747336 Wheelchairs Outlet Durable Medical Equipment & Medical Supplies 5506 Maplebrook Ln, Flint, MI 48507-4160 2020-10-12
1205449543 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 608 Wright Ave Rm 106, Alma, MI 48801-1617 2020-08-26
1699386227 Iha Health Service Corporation Durable Medical Equipment & Medical Supplies Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 2020-08-17
1134747363 Quick Care Medical Devices, LLC Durable Medical Equipment & Medical Supplies 25500 Meadowbrook Rd 275b, Novi, MI 48375 2020-07-14
1457979858 American Dental Care Lab LLC Durable Medical Equipment & Medical Supplies 9209 N Island Ct, Flushing, MI 48433-2934 2020-07-12
1013535178 Karmen Industries LLC Durable Medical Equipment & Medical Supplies 4225 Tanglewood Trl, Saint Joseph, MI 49085-9647 2020-07-06
1972126126 Boss and Rorvik Family Dental, Pllc Durable Medical Equipment & Medical Supplies 1504 Harcrest Dr Ste 2, Midland, MI 48640-4717 2020-05-22
1720600463 Milk Moves LLC Durable Medical Equipment & Medical Supplies 18032 James Couzens Fwy, Detroit, MI 48235-2646 2020-05-15
1225658818 Aen Sports, LLC Durable Medical Equipment & Medical Supplies 40417 Beechwood Ct, Northville, MI 48168-3418 2020-04-23
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Competitor

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City HANCOCK
Zip Code 49930

Improve Information

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Dataset Information

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.

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