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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | PROFESSIONAL GROUP | 0C16002 | 01 |
MI | BLUE CROSS BLUE SHIELD | 540C106010 | 01 |
MI | 2988984 | 05 |
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 |
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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 | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
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 |
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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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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.