# IONIA COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IONIA COUNTY MEMORIAL HOSPITAL
- **Other names:** FHC-PORTLAND RHC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609011923
- **Legal business name:** IONIA COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MR. WILLIAM ROESER (CEO)
- **Authorized official phone:** (616) 523-1400

## Contact information

- **Practice address:** 9751 E GRAND RIVER AVE, PORTLAND, MI 48875-9774
- **Practice address phone:** (517) 647-6722
- **Practice address fax:** (517) 647-6838
- **Mailing address:** 9751 E GRAND RIVER AVE, PORTLAND, MI 48875-9774
- **Mailing address phone:** (517) 647-6722
- **Mailing address fax:** (517) 647-6838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 340021 | MI | Yes |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 08/31/2010