# PORTAGE HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PORTAGE HEALTH EXPRESS CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013247972
- **Authorized official:** MR. JAMES BOGAN (CEO)
- **Authorized official phone:** (906) 483-1500

## Contact information

- **Practice address:** 921 W SHARON AVE., HOUGHTON, MI 49931
- **Practice address phone:** (906) 483-1000
- **Mailing address:** 921 W SHARON AVE., HOUGHTON, MI 49931
- **Mailing address phone:** (906) 483-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 310020 | MI | Yes |

## Other

- **Enumeration date:** 12/28/2009
- **Last updated:** 04/06/2010