IONIA COUNTY MEMORIAL HOSPITAL (NPI# 1609011923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609011923 |
| Entity Type | Organization |
| Organization Name | IONIA COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | FHC-PORTLAND RHC |
| Practice Address |
9751 E Grand River Ave Portland MI 48875-9774 |
| Practice Telephone | 5176476722 |
| Practice Fax Number | 5176476838 |
| Mailing Telephone | 5176476722 |
| Mailing Fax Number | 5176476838 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | MR. WILLIAM ROESER (CEO) |
| Authorized Official Telephone | 6165231400 |
| Is Organization Subpart | Y |
| Parent Organization Name | IONIA COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
340021 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FHC-PORTLAND RHC | Doing Business As Name - Organization |
| Street Address |
9751 E GRAND RIVER AVE |
| City | PORTLAND |
| State | MI |
| Zip Code | 48875-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588627657 | Ryan Koolen | Chiropractor | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2006-04-10 |
| 1164811840 | Ashley M Cohoon | Chiropractor | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2015-01-17 |
| 1245432780 | Michael John Mauren | Dentist | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2007-06-05 |
| 1164577698 | Craft Chiropractic Center PC | Chiropractor | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2007-01-24 |
| 1295801108 | Sparrow Ionia Hospital | Family Medicine | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2006-11-24 |
| 1144250267 | Penny L Thompson | Nurse Practitioner | 9751 E Grand River Ave, Portland, MI 48875-9774 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750635025 | Gretchen Findlay | Speech-Language Pathologist | 1330 E. Grand River Ave., Suite B, Portland, MI 48875 | 2012-11-07 |
| 1902970734 | Roger Duane Miller | Dentist | 811 West Grand River Ave, Portland, MI 48875 | 2006-11-20 |
| 1174612618 | Tom's Pharmacy LLC | Pharmacy | 1462 E Grand River Ave, Portland, MI 48875 | 2006-10-12 |
| 1033168828 | Jami M. Schneider | Dentist | 119 Bridge St., Portland, MI 48875 | 2006-05-09 |
| 1134197593 | Charlene Ann Pahl | Social Worker | 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 | 2006-03-10 |
| 1932187911 | Suzanne R Maystead | Optometrist | 1311 E Bridge Street, Portland, MI 48875 | 2006-01-09 |
| 1407143811 | Nicole Ann Mccrumb | Pharmacist | 1339 E Grand River Ave, Portland, MI 48875 | 2011-07-06 |
| 1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1750574950 | Judy Ann Fryover | Nurse Practitioner | 427 W Grand River Ave, Portland, MI 48875-1122 | 2007-08-21 |
| Find all providers in zip 48875 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588285415 | Mclaren Central Michigan | Clinic/Center | 406 Kent St, Portland, MI 48875-1707 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| 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.