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Organization
PORTAGE HEALTH INC
Active
Organization
PORTAGE HEALTH INC
Active
Parent organization
PORTAGE HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTAGE HEALTH INC
Authorized official
MR. JAMES BOGAN (CEO)
(906) 483-1501
Entity
Organization
Contact information
Practice address
520 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1000
Mailing address
520 CAMPUS DR, HANCOCK, MI 49930-1569
(906) 483-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622000126
—
MI
Enumeration date
08/31/2006
Last updated
04/22/2011
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