Portage Health Inc.

NPI #1821128968 in Hancock, Michigan

Provider Information

NPI Number: 1821128968
Entity Type: Organization
Organization Name: Portage Health Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: PORTAGE HEALTH INC.
Primary Specialty: Family Medicine
Enumeration Date: Mar 7, 2007
Last Updated: Nov 16, 2009

Practice Location

Address: 500 CAMPUS DR,
City: Hancock
State: Michigan
ZIP Code: 49930-1569
Phone: (906) 483-1045

Authorized Official

Name: MS. DIANE GODAMSKI
Title: VICE PRESIDENT
Phone: (906) 483-1045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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